The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
M Isao D Koshima - One of the best experts on this subject based on the ideXlab platform.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN. © 2014 Wiley Periodicals, Inc. Microsurgery 35:324–327, 2015.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN.
M Takumi D Yamamoto - One of the best experts on this subject based on the ideXlab platform.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN. © 2014 Wiley Periodicals, Inc. Microsurgery 35:324–327, 2015.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN.
M Nana D Yamamoto - One of the best experts on this subject based on the ideXlab platform.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN. © 2014 Wiley Periodicals, Inc. Microsurgery 35:324–327, 2015.
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sensate superficial inferior epigastric artery flap innervated by the Iliohypogastric Nerve for reconstruction of a finger soft tissue defect
Microsurgery, 2015Co-Authors: M Takumi D Yamamoto, M Nana D Yamamoto, M Isao D KoshimaAbstract:In the era of perforator flaps, lower-abdominal/inguinal perforator flaps such as superficial circumflex iliac artery perforator (SCIP) flap and superficial inferior epigastric artery (SIEA) perforator flap are becoming popular with its longer vascular pedicle and usefulness in various reconstructions. SIEA flap's region is innervated by the T12 Nerve and the Iliohypogastric Nerve (IHN), but no sensate SIEA flap has been reported so far. In this report, we present a case in which a sensate SIEA flap innervated by the IHN was used for reconstruction of a finger soft tissue defect. A 55-year-old male suffering from the volar skin necrosis of the right ring finger underwent the volar soft tissue reconstruction using a free sensate SIEA flap because of hypoplastic SCIA. The SIEA flap included the IHN anterior branch, and neuroraphy was performed between the IHN and the third common digital Nerve in an end-to-side manner after vascular anastomoses. The reconstructed volar skin could sensate 14 weeks after the surgery. At postoperative 6 months, Semmes-Weinstein test and moving 2-point discrimination revealed 3.64 and 8 mm in the proximal portion of the SIEA flap where the IHN was supposed to innervate. The IHN may be included in a SIEA flap, and a sensate SIEA flap may be a useful option when a SCIP flap is not available. Further anatomical and clinical studies are required to clarify anatomy and clinical usefulness of the IHN.
Gang Chen - One of the best experts on this subject based on the ideXlab platform.
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ilioinguinal Iliohypogastric Nerve block versus transversus abdominis plane block for pain management following inguinal hernia repair surgery a systematic review and meta analysis of randomized controlled trials
Medicine, 2019Co-Authors: Youfa Zhou, Minmin Chen, Yanting Zhang, Haiyan Zhou, Gang ChenAbstract:BACKGROUND Controversy still exists regarding the efficiency and safety of ilioinguinal/Iliohypogastric Nerve (II/IH) block versus transversus abdominis plane (TAP) block for pain management after inguinal hernia repair. The purpose of the current meta-analysis was to perform a relatively credible and comprehensive assessment to compare the efficiency and safety of II/IH versus TAP for pain management after inguinal hernia repair. METHODS The PUBMED, CENTRAL, and EMBASE were systematically searched. Studies comparing II/IH versus TAP for pain management in adult patients undergoing inguinal herniorrhaphy were included. The results of this study are synthesized and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. RESULTS Six studies with 632 patients were included in this study. No statistically significant difference was observed between the II/IH and TAP groups in postoperative opioid use, the time to first request for rescue analgesia, the incidence of postoperative nausea and vomiting (PONV), incidence of complication related with Nerve blocks and patient satisfaction. The TAP group had a significantly higher pain score at 6 and 8 hours postoperatively (6 hours: mean difference [MD] = 0.94, 95% confidence interval [CI] 0.67-1.22, I = 0%, P < .01; 8 hours: MD = 1.02, 95% CI 0.3-1.74, I = 59%, P < .01). However, no statistically significant difference was observed at 1, 2, 4, 12, 24, 48 hours, and 6 months postoperatively. CONCLUSIONS In general, this meta-analysis revealed that both approaches have similar postoperative opioid consumption and no significant difference in postoperative complication and patient satisfaction. The II/IH block provides excellent analgesic effects at 6 and 8 hours after inguinal herniorrhaphy in compared with the TAP block. However, more high-quality randomized controlled trials with long-term follow-up are still required to make the conclusion.
Hitoshi Furuya - One of the best experts on this subject based on the ideXlab platform.
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evaluation of genitofemoral Nerve block in addition to ilioinguinal and Iliohypogastric Nerve block during inguinal hernia repair in children
BJA: British Journal of Anaesthesia, 2005Co-Authors: Noriyuki Sasaoka, Masahiko Kawaguchi, Kenji Yoshitani, H Kato, A Suzuki, Hitoshi FuruyaAbstract:Background. Ilioinguinal and Iliohypogastric (IG-IH) Nerve block has been widely used in children undergoing inguinal hernia repair. This technique may provide insufficient analgesia for intraoperative management as the inguinal region may receive sensory innervation from genitofemoral Nerve. We proposed that addition of a genitofemoral Nerve block might improve the quality of analgesia. Methods. Ninety-eight children undergoing inguinal hernia repair were assigned randomly to receive either IG-IH Nerve block (Group I) or IG-IH and genitofemoral Nerve blocks (Group II). Systolic arterial pressure (SAP) and heart rate (HR) were recorded before surgery (control), after skin incision, at sac traction and at the end of surgery. Postoperative analgesic requirements and incidence of complications were recorded until discharge. Results. At sac traction, SAP and HR were significantly higher in Group I (P<0.05), and the incidence of episodes of increased HR was also significantly higher in Group II (29 vs 12%, respectively, P<0.05). There were no significant differences in SAP and HR at other time points, postoperative analgesic requirements or incidence of complications between the groups. Conclusions. The benefit of the additional genitofemoral Nerve block to IG-IH Nerve block was limited only to the time of sac traction without any postoperative effect. This suggests there is little clinical benefit in the addition of a genitofemoral Nerve block.
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evaluation of genitofemoral Nerve block in addition to ilioinguinal and Iliohypogastric Nerve block during inguinal hernia repair in children
BJA: British Journal of Anaesthesia, 2005Co-Authors: Noriyuki Sasaoka, Masahiko Kawaguchi, Kenji Yoshitani, H Kato, A Suzuki, Hitoshi FuruyaAbstract:Background. Ilioinguinal and Iliohypogastric (IG-IH) Nerve block has been widely used in children undergoing inguinal hernia repair. This technique may provide insufficient analgesia for intraoperative management as the inguinal region may receive sensory innervation from genitofemoral Nerve. We proposed that addition of a genitofemoral Nerve block might improve the quality of analgesia. Methods. Ninety-eight children undergoing inguinal hernia repair were assigned randomly to receive either IG-IH Nerve block (Group I) or IG-IH and genitofemoral Nerve blocks (Group II). Systolic arterial pressure (SAP) and heart rate (HR) were recorded before surgery (control), after skin incision, at sac traction and at the end of surgery. Postoperative analgesic requirements and incidence of complications were recorded until discharge. Results. At sac traction, SAP and HR were significantly higher in Group I (P Conclusions. The benefit of the additional genitofemoral Nerve block to IG-IH Nerve block was limited only to the time of sac traction without any postoperative effect. This suggests there is little clinical benefit in the addition of a genitofemoral Nerve block.
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ilioinguinal Iliohypogastric Nerve block for pediatric inguinal herniorrhaphy evaluation of the dose of ropivacaine
Masui. The Japanese journal of anesthesiology, 2004Co-Authors: Takashi Shimoda, Noriyuki Sasaoka, Kenji Yoshitani, A Suzuki, Ayako Yamaguchi, Hitoshi FuruyaAbstract:Background The aim of this study was to investigate the appropriate dose of ropivacaine in efficacy and safety when administered for ilioinguinal/Iliohypogastric Nerve block in children undergoing inguinal herniorrhaphy. Methods Forty six children (aged 1-8 yr, classified ASA I-II) undergoing ambulatory surgery for inguinal herniotomy were randomly assigned to one of the three groups, according to the dosage of ropivacaine: group I (n = 15), group II (n = 16) and III (n = 15) received 1.875, 0.9375 and 0.5625 mg x kg(-1) of ropivacaine, respectively. Intraoperative hemodynamics and modified CHEOPS score at 1, 3 and 5 hours after operation were recorded. Results There were no significant differences among the three groups in the intraoperative hemodynamics, whereas postoperative modified CHEOPS scores were significantly higher in group III than the other groups. Trivial femoral Nerve palsy occurred in one patient of the group II, and no other adverse effects were seen in any groups. Conclusions These results suggest that more than 0.9375 mg x kg(-1) of ropivacaine might be recommended to obtain sufficient postoperative analgesia for the ilioinguinal/Iliohypogastric Nerve block in children undergoing inguinal herniorrhaphy.
