| Spermatic Cord Block Anesthesia for Scrotal Surgery. |
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Sang Kyi Lee |
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Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea. |
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| Abstract |
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Spermatic cord block anesthesia for scrotal Surgery with 0.5% bupivacaine hydrochloride, 1% lidocaine hydrochloride or 1% lidocaine hydrochloride-0.5% bupivacaine hydrochloride combination was perpermed in 25 patients from March 1983 to August 1984. The injection was made to and around the spermatic cord approximately 1 cm below and medial to the pubic tubercle. The overlying skin was infiltrated with the same local anesthetic. The results were as follows. 1) The changes in blood pressure and pulse rate were minimal before, during, and after the anesthesia. 2) The recovery from anesthesia was smooth and the requirement of postoperative analge-sics was minimal both with 0.5% bupivacaine hydrochloride and 1% lidocaine hydrochloride -0.5% bupivacaine hydrochloride combination. 3) There were no complications directly attributable to the anesthetic agent or to the technique of performing the spermatic cord block anesthesia. 4) The technique was simple and safe as well as cost-saving. It had another benefit that the patients were capable of dietary intake immediately after operation. 5) So the spermatic cord block anesthesia was thought to be superior to other techniques for surgery of the scrotal region. 6) The combination of 1% lidocaine hydrochloride and 0.5% bupivacaine hydrochloride is recommended for its rapid onset and long duration of action as an anesthetic of choice in conduction anesthesia. |
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