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Transurethral resection of bladder tumor obturator nerve in the application of the experience of closure


Stressed thin column of 0.5 on the moment (the current strength of 0. 5mA), Xu promote needle litter. When Qi and Mi} | device synchronized with the pulse current is too removed leg adduction movement. Liu has been accurate description of the tip of the obturator nerve thousand near the connecting pipe at the time from injection of 1.5 ethyl Xy-locaine810ml, and then pulse knob to 2.5 to 3 degree Liu (current intensity of 2.5 ~ 3ma),[link widoczny dla zalogowanych], if too much leg movement without the help there. That the obturator nerve has been completely closed, if the adduction movement 137 occurs. A slight adjustment of needle position and an additional 1.5 ethyl Xy] ocalne3 ~ 4m】, until the closing entropy is stopped, slowly withdraw from Cambodia f pin to wear. Taiwan epidural anesthesia with security barrier that is able to carry out surgery. Figure 3 Nodular muscular anatomy of the obturator nerve and puncture sealing effect Shao-bit narrow bed lO sad in this group (15) in the course of anesthesia TURBt satisfactory, is attached. - With clinical and wrapped 1O feeding effect of I38-closed obturator nerve block anesthesia when the epidural anesthetics discussed the role of parts of the site in the spinal nerve roots. The obturator nerve stem from the bladder, prostate lateral adductors disposable piercing obturator in TURBt, if the tumor is located in the bladder wall, trigone of bladder around the high-frequency electric current through the cutting cycle to stimulate the bladder wall No anesthetic block of the obturator nerve stem, causing ipsilateral thigh adductor movement. Power cut caused by worn rings or bladder wall complications are being reported this phenomenon at home and abroad '. We have a similar situation occurred, but no perforation of the bladder wall. To prevent this phenomenon, the literature proposes three solutions:. ; Li: Lanman; 1. Hobika (1961), Prentis (1985) and other proposed to increase skeletal muscle relaxant general anesthesia,[link widoczny dla zalogowanych], such as succinic acid choline (abbreviation scc) or Pan Kan Ronin (abbreviation PB). The role of Chu in the robbery at the neuromuscular junction,[link widoczny dla zalogowanych], can block the suspect from God to the stimulation of fighting and hunting,[link widoczny dla zalogowanych], but the SCC to maintain the time within 5 minutes, PB ~ IO minutes, so patients must re-use, plug and must perform endotracheal management of artificial respiration tube, which increases the difficulty of anesthetic management. 2. Drugs with long-lasting local anesthesia in the prostate through the rectum and bladder triangle around the bottom and line mucous membranes around the tumor local anesthesia, according to Crccry (1969) _ the experience that this method is simple, fast, effective, but how to maintain a short time. Only 2 to 3 minutes. But also the danger of proliferation caused by cancer. 3. Obturator nerve to do with the closure of local anesthetic. This method Augspurgcr and Nagata in the 80's has been reported in detail. They are down from the perineum pubic bone supporting the front inside of the puncture by the arrival at the closure of the obturator nerve obturator tube dry, the success rate of about 8O%,[link widoczny dla zalogowanych], but in the perineal skin lesions can not be implemented based on the improved level of support from the pubic puncture inside using a special needle through the needle to determine whether the pulse current stimulation of the obturator nerve stem to reach the vicinity of the local anesthetic is effective, which ensures the reliability of operation. For lO patients, 15 were satisfied with the closure of the obturator nerve effects, postoperative no adverse reactions.
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