Korean J Anesthesiol.
1979 Dec;12(4):398-406.
Intrathecal Phenol-Glycerine Block far Perianal Cancer Pain
- Affiliations
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- 1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Phenol-glycerine subarachnoid blocks were performed in 5 patients, who had intractable perianal pain from postoperative rectal cancer. An initial diagnostic subarachoid block with 0. 25 ml of 0.5% tetracaine in 10% glucose through L 5-S 1 was performed with the patient in a sitting position tilted about 15 degree to the affected side. After evaluation of the test block, the following day a therapeutic block was undertaken by injecting 0. 15-0. 2 ml of 10% phenol-glycerine. Excellent relief occurred in all cases and in one of them the repeated block for recurrent pain was done and 5 months after the first block. One case required of successive blocks 3 times during 8 days with the old phenol glycerine solution over 1 year. Life duration ranged from days to more than 12 months after the blocks. As to complication, dysuria developed temporarily in 3 cases. The one-sided saddle block with 10% phenol glycerine for perianal cancer pain is remarkably safe as well as effective and should be employed more frequently.
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