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Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report.
Watanabe, Kunitaro; Tokumine, Joho; Lefor, Alan Kawarai; Moriyama, Kumi; Yorozu, Tomoko.
Affiliation
  • Watanabe K; From the Department of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
  • Tokumine J; From the Department of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
  • Lefor AK; Department of Surgery, Jichi Medical University, Tochigi, Japan.
  • Moriyama K; From the Department of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
  • Yorozu T; From the Department of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
A A Pract ; 14(1): 28-30, 2020 Jan 01.
Article in En | MEDLINE | ID: mdl-31789823
ABSTRACT
A 78-year-old woman complained of numbness, tingling, and pain in the left leg 6 months after greater saphenous vein stripping. Ultrasonography identified a mass adjacent to the saphenous nerve at the scar. Ultrasound-guided hydrodissection separated the mass from the nerve. The pain disappeared after hydrodissection, and the patient remained pain free for 3 days. The visual analog pain scale decreased from 80 (before treatment) to 60 three days later. The hydrodissection was repeated weekly for a total of 8 times, and the pain completely resolved 4 months later. Ultrasound-guided hydrodissection is effective to treat nerve entrapment after lower extremity varicose vein stripping.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pain, Postoperative / Varicose Veins / Lower Extremity Type of study: Prognostic_studies Limits: Aged / Female / Humans Language: En Journal: A A Pract Year: 2020 Document type: Article Affiliation country: Japón

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pain, Postoperative / Varicose Veins / Lower Extremity Type of study: Prognostic_studies Limits: Aged / Female / Humans Language: En Journal: A A Pract Year: 2020 Document type: Article Affiliation country: Japón