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dc.contributor.authorSevinç, Cüneyd
dc.contributor.authorKaradeniz, Tahir
dc.date.accessioned2021-04-05T06:43:12Z
dc.date.available2021-04-05T06:43:12Z
dc.date.issued2021en_US
dc.identifier.citationSevinc, C., & Karadeniz, T. (2021). A Different Obturator Nerve Block Approach Using Nerve Stimulation Device Under Fluoroscopy Guidance in the Transurethral Resection of Lateral Bladder Wall Tumors. Medical Bulletin of Haseki/Haseki Tip Bulteni, 59(2).en_US
dc.identifier.issn1302-0072
dc.identifier.urihttps://doi.org/10.4274/haseki.galenos.2021.6813
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1648
dc.description.abstractAim: This study aims to define the efficacy and safety of a different obturator nerve block technique using fluoroscopy and nerve stimulation device during transurethral resection of bladder tumor (TUR-BT). Methods: Sixty patients with lateral bladder wall tumors who had TURBT were retrospectively analyzed for the formation of obturator reflex. Thirty patients received spinal anesthesia (SA) and 30 patients received SA combined with an obturator nerve block (ONB). ONB was performed in the lithotomy position. A percutaneous needle was advanced to the superolateral portion of the obturator foramen under fluoroscopic guidance. The nerve was localized with a nerve stimulation device and 5 mL of 2% prilocaine was injected to perineural area. Additionally, the tumor base was marked intravesically by resectoscope with fluoroscopy and 5 mL of %2 prilocaine was administered to nearby tissue. Obturator reflex formation reflex-related related complications were compared between the two groups. Results: The results of our study yielded a statistically significant difference in the favor of ONB compared to SA alone for the occurrence of obturator reflex (13% vs 43%, p=0.020), bladder perforation (0% vs 23.3%, p=0.002), and absence muscle tissue in the pathological specimen (10% vs 40%, p=0.01). Conclusion: ONB with the help of a nerve stimulation device, directed by fluoroscopy is effective to prevent obturator reflex and related complications.en_US
dc.language.isoengen_US
dc.publisherGalenosen_US
dc.relation.isversionof10.4274/haseki.galenos.2021.6813en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFluoroscopyen_US
dc.subjectObturator Nerveen_US
dc.subjectReflexen_US
dc.subjectUrinary Bladder Neoplasmsen_US
dc.titleA different obturator nerve block approach using nerve stimulation device under fluoroscopy guidance in the transurethral resection of lateral bladder wall tumorsen_US
dc.typearticleen_US
dc.contributor.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.contributor.authorIDCüneyd Sevinç / 0000-0002-6321-5143
dc.contributor.institutionauthorSevinç, Cüneyd
dc.identifier.volume59en_US
dc.identifier.issue2en_US
dc.identifier.startpage122en_US
dc.identifier.endpage127en_US
dc.relation.journalHaseki Tip Bultenien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.contributor.wosauthoridCüneyd Sevinç / AAG-1502-2021
dc.contributor.wosauthoridTahir Karadeniz / FGH-4602-2022
dc.contributor.scopusauthoridCüneyd Sevinç / 56915806300


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