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Pudendal Nerve Block Under Neurostimulation during a Urological Surgery Funfair at the University Hospital Center of Mother& Child Lagoon (UHC-MCL): Procedure and Effectiveness in Children

DOI : https://doi.org/10.36349/easjms.2020.v02i06.002
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Introduction: In children, the pudendal block has recently experienced a significant boom in ensuring quality perioperative analgesia for perineal surgeries. The purpose of this work is to describe the process and the effectiveness of the pudendal block performed under neurostimulation. Patients and Method: This is a prospective study carried out in the pediatric surgery department of the UHC-MCL, from November 17to the 22nd of November 2019 and it included all the children aging from 0 to 15 years old who would not only have benefited from a program within the framework of the funfair mission for hypospadias surgery but also be eligible for the pudendal block itself. The pudendal block was found to be effective in the absence of pain using the scale of 6 faces modified every 2 hours until the 24th hour. The data were collected from a form designed for this purpose. They were analyzed using Stata Version 14 software. Results: A total of 42 children had benefited from a surgical consultation but 18 were eligible (42.85%) for the present study. The latter had an average age of 6-10 ± 2.23 years with extremes from 10 months of life to 14 years. Hypospadias (anterior and balanic) was the most widely used surgical indication (55.55%). The children were classified ASA1 (92%) and ASA2 (8%). The pain assessment score was between 0 - 3after 24 hours in 100% of children subsequently explaining the efficacy of the pudendal block. The average stay during hospitalization was 1.12 +/- 0.36 days; the perioperative morbidity and mortality was null. Conclusion: The Pudendal Block seems to provide pretty good analgesia and a certain post-operative comfort to children who had surgery done. Taking into account the quality of the surgeries done on patients, , the cost, the efficiency of the procedure and the post-operative comfort hence the realization of the pudendal block constitutes an alternative for fairground care.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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