Intrathecal Phenol-Glycerine Block far Perianal Cancer Pain .
10.4097/kjae.1979.12.4.398
- Author:
Hung Kun OH
1
;
Yong Taek NAM
;
Yee Chul LEE
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Dysuria;
Glucose;
Glycerol;
Humans;
Phenol;
Rectal Neoplasms;
Tetracaine
- From:Korean Journal of Anesthesiology
1979;12(4):398-406
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Phenol-glycerine subarachnoid blocks were performed in 5 patients, who had intractable perianal pain from postoperative rectal cancer. An initial diagnostic subarachoid block with 0. 25 ml of 0.5% tetracaine in 10% glucose through L 5-S 1 was performed with the patient in a sitting position tilted about 15 degree to the affected side. After evaluation of the test block, the following day a therapeutic block was undertaken by injecting 0. 15-0. 2 ml of 10% phenol-glycerine. Excellent relief occurred in all cases and in one of them the repeated block for recurrent pain was done and 5 months after the first block. One case required of successive blocks 3 times during 8 days with the old phenol glycerine solution over 1 year. Life duration ranged from days to more than 12 months after the blocks. As to complication, dysuria developed temporarily in 3 cases. The one-sided saddle block with 10% phenol glycerine for perianal cancer pain is remarkably safe as well as effective and should be employed more frequently.
