Title :

Pudendal nerve block for perineo-vulvar surgery: monocentered prospective and randomised study

Author(s) :

Rubod, C. [Auteur]
Hanssens, Sandy [Auteur]
Lucot, Jean-Philippe [Auteur]
Pougeoise, M. -M. [Auteur]
Devos, Patrick [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Dalmas, A. -F. [Auteur]

Journal title :

Gynecologie, obstetrique & fertilite

Abbreviated title :

Gynecol. Obstet. Fertil.

Volume number :

43

Pages :

97-103

Publication date :

2015-02-01

ISSN :

1297-9589

English keyword(s) :

Perineo-vulvar surgery surgery
Neurostimulation
Multimodal anaesthesia
Pudendal nerve block

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: Evaluation of pudendal nerve block on the quality of analgesia in perineal or vulvar surgery. METHODS: We realised a monocentered, prospective and randomised study of all patients undergoing perineo-vulvar ...
Show more >OBJECTIVE: Evaluation of pudendal nerve block on the quality of analgesia in perineal or vulvar surgery. METHODS: We realised a monocentered, prospective and randomised study of all patients undergoing perineo-vulvar surgery. Two groups of patients were evaluated: general anaesthesia alone (GA group, 41 patients) and both general anaesthesia and bilateral nerve stimulator-guided pudendal nerve block (15 mL of Ropivacaïne 5 mg.mL(-1)+0,5 μg.kg(-1) of Clonidine) (PB group, 42 patients). Evaluation of pain was realised with per- and post-surgical prescription of hypnotics and antalgics was noted. The primary outcome measure was the Visual Analogic Scale (VAS) pain means scores in the first postoperative 24 hours. RESULTS: There was no difference in the VAS pain means scores in the first 24 hours, but it seemed to have a decrease in VAS pain at 2 hours in the PB group. Analgesic consumption during surgery was decreased in the same group. No complication of the pudendal block has been reported. CONCLUSIONS: The nerve stimulator-guided pudendal nerve block is a simple and useful method which can, when associated with general anesthesia, reduce per-operative antalgics consumption and a decrease in the immediate postoperative pain in perineal or vulvar surgery, without complication or lengthening operating time. Further studies are needed to confirm the effectiveness of this technique and evaluate the costs and potential complications.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T18:15:15Z