Affiliation:
1. School of Anesthesiology Zunyi Medical University Zunyi Guizhou China
2. Department of Anesthesiology Guizhou Aerospace Hospital Zunyi China
3. Department of Anesthesiology Affiliated Hospital of Zunyi Medical University Zunyi China
4. Early Clinical Research Ward of Affiliated Hospital of Zunyi Medical University Zunyi China
Abstract
AbstractA middle‐aged man experienced intermittent acupuncture‐like pain in the skin of the right scrotum and medial thigh 1 month after undergoing laparoscopic high ligation of the right hernial sac for a right indirect inguinal hernia in November 2020, and the pain persisted for 6 months. Under ultrasound guidance, ilioinguinal and genitofemoral nerve block and local adhesion water separation were performed with a mixture of 0.25% lidocaine (6 mL) plus prednisolone acetate (10 mg), and the same drugs and methods were repeated five times once a week. After five treatments, the visual analogue scale (VAS) score was reduced from 7 before treatment to 1. During the follow‐up period, at 3 months after the end of treatment, the VAS score remained at 0, and this score was sustained at 0 even at the 6‐month follow‐up. These outcomes indicate that ultrasound‐guided nerve block combined with water separation technology can effectively alleviate neuralgia caused by surgical adhesion, which holds important clinical significance in managing such conditions.