Perforator-Guided Drug Injection in the Treatment of Abdominal Wall Pain

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Sven Weum, Louis de Weerd

Abstract

Pain from the abdominal wall can be caused by nerve entrapment, a condition called abdominal cutaneous nerve entrapment syndrome (ACNES). As an alternative to surgery, ACNES may be treated with injection of local anesthetics, corticosteroids, or botulinum toxin at the point of maximal pain. The point of maximal pain was marked on the abdominal skin. Using color Doppler ultrasound, the corresponding exit point of perforating blood vessels through the anterior fascia of the rectus abdominis muscle was identified. Ultrasound-guided injection of botulinum toxin in close proximity to the perforator's exit point was performed below and above the muscle fascia. The technique was used from 2008 to 2014 on 15 patients in 46 sessions with a total of 128 injections without complications. The injection technique provided safe and accurate administration of the drug in proximity to the affected cutaneous nerves. The effect of botulinum toxin on ACNES is beyond the scope of this article. Perforator-guided injection enables precise drug administration at the location of nerve entrapment in ACNES in contrast to blind injections.

References

Jan 11, 2002·British Journal of Plastic Surgery·L H YapJ H Stevenson
May 28, 2008·Pain Practice : the Official Journal of World Institute of Pain·Louise C Jeynes, Charles A Gauci
Jun 27, 2009·American Journal of Surgery·Rolv-Ole Lindsetmo, Jonah Stulberg
Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Saravanakumar KanakarajanRavi Nagaraja
Jul 19, 2013·The Korean Journal of Pain·Myong Joo HongDong Hyuk Seo

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Citations

Feb 16, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sven Weum, Louis de Weerd
Dec 28, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sven Weum, Louis de Weerd
Feb 9, 2017·Gastroenterología y hepatología·Noelia AlcaideEnrique Ortega Ladrón de Cegama
Dec 28, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Daniele CoraciLuca Padua
Sep 4, 2018·Plastic and Reconstructive Surgery. Global Open·Sven Weum, Louis de Weerd
Feb 7, 2021·Current Pain and Headache Reports·Karina CharipovaIvan Urits
Jun 20, 2020·Journal of Pediatric Surgery·Jasper MarkusRamon R Gorter

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