PDF(Pubmed)
Abstract：
In recent years, there has been an increase in demand for gluteal augmentation and reshaping surgeries with intramuscular implants which are becoming increasingly popular. Until now, this surgery was mainly performed under general anesthesia, but recently locoregional anesthesia techniques, such as tumescent local anesthesia, are being applied more and more. Today, the use of ultrasound for locoregional anesthesia and analgesia allows us to perform techniques that are increasingly precise and burdened with lower risks. In this report, we present a novel two-step ultrasound-guided technique combining a botox injection in the gluteus maximus four weeks before surgery and tumescent anesthesia with a cluneal nerve block. Furthermore, the combination of anesthetic and analgesic techniques can guarantee a better result both in terms of surgical execution of the intervention and in reducing pain and improving patient comfort in the postoperative period.
摘要：
近年来,对于使用肌肉内植入物的臀肌扩张和重塑手术的需求增加，这种需求正变得越来越流行。直到现在,这个手术主要是在全身麻醉下进行的,但是最近局部麻醉技术，如肿胀局部麻醉，应用越来越多。今天,超声用于局部麻醉和镇痛使我们能够执行越来越精确且风险较低的技术。在这份报告中,我们提出了一种新颖的两步超声引导技术,该技术结合了手术前4周在臀大肌注射肉毒杆菌毒素和肿胀麻醉和腕部神经阻滞.此外，麻醉和镇痛技术的结合可以保证更好的结果，无论是在手术执行干预和减少疼痛，提高病人的舒适度在术后。
