Document Detail

Ultrasonography reinvents the originally described technique for ganglion impar neurolysis in perianal cancer pain.
MedLine Citation:
PMID:  18806057     Owner:  NLM     Status:  MEDLINE    
Visceral pain in the perineal area associated with malignancies may be effectively treated with neurolysis of the ganglion impar. Since the first description of the technique of accessing the ganglion impar through anococcygeal ligament, many techniques for ganglion impar block have been described. We present a patient diagnosed with carcinoma of the anal canal who was successfully given ultrasound-guided ganglion impar block using a Chiba needle inserted through the anococcygeal ligament. In summary, ultrasound-guided ganglion impar neurolysis is a fast, safe, and cost-effective method, which can be used as a first-line pain relief intervention for good quality of life in patients with perianal cancers.
Deepak Gupta; Roopesh Jain; Seema Mishra; Santosh Kumar; Sanjay Thulkar; Sushma Bhatnagar
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Publication Detail:
Type:  Case Reports; Journal Article; Retracted Publication    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  107     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-22     Completed Date:  2008-10-09     Revised Date:  2010-12-10    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1390-2     Citation Subset:  AIM; IM    
Department of Anesthesiology, Room No-242, Institute Rotary Cancer Hospital, DR. BRA-IRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
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MeSH Terms
Anal Canal* / innervation,  ultrasonography
Anus Neoplasms / complications*
Autonomic Nerve Block / methods*
Ganglia, Sympathetic / surgery*
Middle Aged
Pain, Intractable / etiology,  therapy*
Ultrasonography, Interventional*
Comment In:
Anesth Analg. 2009 Jun;108(6):1995; author reply 1995-6   [PMID:  19448244 ]
Retraction In:
Bhatnagar S. Anesth Analg. 2010 Dec;111(6):1560   [PMID:  21106972 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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