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Perforator-guided drug injection in the treatment of abdominal wall pain

Permanent lenke
https://hdl.handle.net/10037/10855
DOI
https://doi.org/10.1093/pm/pnv011
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Åpne
article.pdf (328.3Kb)
accepted manuscript version (PDF)
Dato
2015-11-25
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Weum, Sven; de Weerd, Louis
Sammendrag
Background. Pain from the abdominal wall can be caused by nerve entrapment, a condition called abdominal cutaneous nerve entrapment syndrome (ACNES). As an alternative to surgery, ACNES may be treated with injection of local anesthetics, corticosteroids, or botulinum toxin at the point of maximal pain. Method. The point of maximal pain was marked on the abdominal skin. Using color Doppler ultrasound, the corresponding exit point of perforating blood vessels through the anterior fascia of the rectus abdominis muscle was identified. Ultrasound-guided injection of botulinum toxin in close proximity to the perforator’s exit point was performed below and above the muscle fascia. Results. The technique was used from 2008 to 2014 on 15 patients in 46 sessions with a total of 128 injections without complications. The injection technique provided safe and accurate administration of the drug in proximity to the affected cutaneous nerves. The effect of botulinum toxin on ACNES is beyond the scope of this article. Conclusion. Perforator-guided injection enables precise drug administration at the location of nerve entrapment in ACNES in contrast to blind injections.
Beskrivelse
Accepted manuscript version. Published version at http://doi.org/10.1093/pm/pnv011.
Forlag
Oxford University Press
Sitering
Weum S, de Weerd L. Perforator-guided drug injection in the treatment of abdominal wall pain. Pain medicine (Malden, Mass.) . 2015;17(7):1229-1232
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Samlinger
  • Artikler, rapporter og annet (klinisk medisin) [1974]

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