|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
ALCOHOL OR OTHER NERVE BLOCK AGENT INSTEAD OF LUNA?From: mark decker (mdecker@nconnect.net)Fri Jun 14 23:51:36 1996
sorry to shout..I have fat fingers and I hit the caps key a lot. I have seen one luna patient develop prolapse shortly agfter the procedure..like several months...just uterine prolapse. possible prolapse has always bothered me and I counsel patients that the ligaments are weakened by the procedure and though I know of no data to say prolapse is increased post op I objectively think it must be more likely. so while shaving a few weeks ago I thought why not a nerve block..such as alcohol or one of the other agents. I am ignorant of the histological/pathological changes that occur with different agents and I would have to do some research. Keeping the block confined to the ligament and nerve tracts and at least away from other important structures we don't want to block/damage <ureter..intravascular injections and the like> is important. I would think it would be fairly easy to do..and not cutting the uterosacral ligaments has to be better for support and there should be less bleeding risk and I would think other organ injury risks with injections in place of electrical for sure and even laser energy methods. anyone here familiar with the mechanism of nerve/tissue injury for permanent nerve blocks and the risks to tissues? I should talk to our pain clinic anesthesia docs since the cross over to the uterosacral ligamnet can't be that big of a jump? anyone aware of other studies or articles on this subhject? thanks Mark -- mark decker md major surgery is done on me obgyn - avid biker minor surgery I do one someone else. midwest usa I need to remember that. <perspective>.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:16:47 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.