Ultrasound-guided peripheral nerve blocks for anterior cutaneous nerve entrapment syndrome after robot-assisted gastrectomy: A case report

作     者：Yukiko Saito Hirohisa Takeuchi Joho Tokumine Ryuji Sawada Kunitaro Watanabe Tomoko Yorozu 

作者机构：Department of AnesthesiologyKyorin University School of MedicineTokyo 181-8611Japan Department of SurgeryKyorin University School of MedicineTokyo 181-8611Japan 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第8期

页      面：2719-2723页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Anterior cutaneous nerve entrapment syndrome Rectus sheath block Trans-verse abdominal plane block Hydrodissection Robot-assisted gastrectomy Case report 

摘      要：BACKGROUND Anterior cutaneous nerve entrapment syndrome(ACNES)is a condition mani-festing with pain caused by strangulation of the anterior cutaneous branch of the lower intercostal *** case report aims to provide new insight into the selection of peripheral nerve blocks for the ACNES *** SUMMARY A 66-year-old woman manifested ACNES after a robot-assisted distal *** ultrasound-guided rectal sheath block was effective for pain triggered by the port ***,the sudden severe pain,which radiated laterally from the previous site,remained.A transversus abdominis plane block was performed for the remaining pain and effectively relieved *** In this case,the trocar port was inserted between the rectus and transverse abdominis *** intercostal nerves might have been entrapped on both sides of the rectus and transversus abdominis ***,rectus sheath and transverse abdominis plane blocks were required to achieve complete pain *** the best of our knowledge,this is the first report on use of a combination of rectus sheath and transverse abdominis plane blocks for pain relief in ACNES.