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회음부통증 환자를 위한 Ganglion Impar의 정위적 신경절제술
신근만(Keun Man Shin),김진수(Jin Soo Kim),조용노(Y 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
The first reported the neural blockade of ganglion impar for pain control of perineal pain in l990 by Plancarte and his fellows. They used 6ml of 10 percent phenol. But the point of issues, same as other neurolytics, are that it is impossible to check and control its spreading, so it might be possible to destruct the coccygeal plexus and sacral nerve, and also it has only short aetion time. Because of these problems, it could be very dangerous to attempt this procedure especially not for relieving the pain on cancer terminal patient, but for the sympathectomy of ganglion impar on the other purpose. We used the RF generator which had the control ability to point out the destructive le- sion accurately. inserted We made the small burr hole on the sacrum near the sacrococc ygeal junction directly through the hole, and performed thermocoagulation to the gan- glion impar.
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김수관(Su Gwan Kim),안철수(Cheol Soo Ahn),조용노(Y 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. The pain is usually spasmodic in nature and most commonly en- countered in patients with carcinoma of the rectum or other pelvic organs. In 1988, Bristowand Foster reported that patients with severe spasmodic painful tenesmus were relieved with chemical sympathectomy. In 1990, Plancarte introduced block of Gangli- on impar. This technique is proposed as an alternative means of managin#g localized peri- neal pain of sympathetic origin. Ganglion impar block was performed on a 54-year-old female patient when analgesic or psychotropic drugs failed to control the symptoms of post-traumatic severe spasmodic pain- ful tenesmus. Postoperatively, patient was free of tenesmoid pain for only 7 days. We then performed neurotomy by RF lesion generator which provided complete pain relief.
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