Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report

A 78-year-old woman complained of numbness, tingling, and pain in the left leg 6 months after greater saphenous vein stripping. Ultrasonography identified a mass adjacent to the saphenous nerve at the scar. Ultrasound-guided hydrodissection separated the mass from the nerve. The pain disappeared aft...

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Autores principales: Watanabe, Kunitaro, Tokumine, Joho, Lefor, Alan Kawarai, Moriyama, Kumi, Yorozu, Tomoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948788/
https://www.ncbi.nlm.nih.gov/pubmed/31789823
http://dx.doi.org/10.1213/XAA.0000000000001143
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author Watanabe, Kunitaro
Tokumine, Joho
Lefor, Alan Kawarai
Moriyama, Kumi
Yorozu, Tomoko
author_facet Watanabe, Kunitaro
Tokumine, Joho
Lefor, Alan Kawarai
Moriyama, Kumi
Yorozu, Tomoko
author_sort Watanabe, Kunitaro
collection PubMed
description A 78-year-old woman complained of numbness, tingling, and pain in the left leg 6 months after greater saphenous vein stripping. Ultrasonography identified a mass adjacent to the saphenous nerve at the scar. Ultrasound-guided hydrodissection separated the mass from the nerve. The pain disappeared after hydrodissection, and the patient remained pain free for 3 days. The visual analog pain scale decreased from 80 (before treatment) to 60 three days later. The hydrodissection was repeated weekly for a total of 8 times, and the pain completely resolved 4 months later. Ultrasound-guided hydrodissection is effective to treat nerve entrapment after lower extremity varicose vein stripping.
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spelling pubmed-69487882020-02-04 Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report Watanabe, Kunitaro Tokumine, Joho Lefor, Alan Kawarai Moriyama, Kumi Yorozu, Tomoko A A Pract Case Reports A 78-year-old woman complained of numbness, tingling, and pain in the left leg 6 months after greater saphenous vein stripping. Ultrasonography identified a mass adjacent to the saphenous nerve at the scar. Ultrasound-guided hydrodissection separated the mass from the nerve. The pain disappeared after hydrodissection, and the patient remained pain free for 3 days. The visual analog pain scale decreased from 80 (before treatment) to 60 three days later. The hydrodissection was repeated weekly for a total of 8 times, and the pain completely resolved 4 months later. Ultrasound-guided hydrodissection is effective to treat nerve entrapment after lower extremity varicose vein stripping. Wolters Kluwer Health, Inc 2019-11-19 /pmc/articles/PMC6948788/ /pubmed/31789823 http://dx.doi.org/10.1213/XAA.0000000000001143 Text en Copyright © 2019 International Anesthesia Research Society This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Reports
Watanabe, Kunitaro
Tokumine, Joho
Lefor, Alan Kawarai
Moriyama, Kumi
Yorozu, Tomoko
Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title_full Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title_fullStr Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title_full_unstemmed Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title_short Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report
title_sort ultrasound-guided hydrodissection of an entrapped saphenous nerve after lower extremity varicose vein stripping: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948788/
https://www.ncbi.nlm.nih.gov/pubmed/31789823
http://dx.doi.org/10.1213/XAA.0000000000001143
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