STUDY TO EVALUATE THE EFFICACY OF OBTURATOR NERVE BLOCK IN PREVENTING THE ADDUCTOR SPASM IN TRANSURETHRAL RESECTION OF BLADDER TUMORS

Kiranpreet Kaur; Mamta Bhardwaj

Volume : VI, Issue : I, January - 2016

STUDY TO EVALUATE THE EFFICACY OF OBTURATOR NERVE BLOCK IN PREVENTING THE ADDUCTOR SPASM IN TRANSURETHRAL RESECTION OF BLADDER TUMORS

Kiranpreet Kaur, Mamta Bhardwaj

Abstract :

Background: Bilateral obturator nerve block (ONB) combined with subarachnoid block has become a widely accepted, safe and viable technique to avoid adductor contraction during transurethral resection of prostate. It can be used in all those patients where administration of General anaesthesia carries lot of risk. Material & Methods: Prospective study was conducted using ONB with blind anatomical approach along with spinal anaesthesia in 20 patients suffering from bladder tumor involving the inferolateral wall. Results: Total number of patients was 20 with male predominance Mean age of patients was 63.65 years. Average size of tumor was 5.15 cm. Duration was significantly related to size of tumor and number of masses ONB was completely successful in 90% cases. Conclusion: We conclude that obturator nerve block when administered along with spinal anaesthesia for TURBT is extremely safe and effective method of anaesthesia to overcome adductor contraction.