METHOD OF FUNICULAR ANESTHESIA Russian patent published in 2011 - IPC A61M19/00 A61K31/167 A61K31/431 A61P23/02 A61B8/00 

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention relates to medicine, namely to urology, andrology and anesthesiology, and can be used in necessity of performing blockade of spermatic cord. For this purpose in place of supposed puncture in visible, ultrasonic and infrared spectra of radiation state of tissues is determined and nearest to epididymis section of spermatic cord is selected. Spermatic cord is lifted, forming deflection of posterior wall above selected section, and fixed. After that into spermatic cord under US control with cut downward needle is introduced on anterior-external surface of scrotum and moved through subcutaneous fatty cellular tissue and anterior wall of spermatic cord on descending radius towards scrotum on minimal distance. After that angle of needle inclination with respect to anterior surface of cord in place of its puncture is reduced to 5-0°, and needle is moved inside cord at the distance equal to length of its cut with further introduction of 1-1.5 ml of solution of 2% lidocain hydrochloride and 1% cefazolin sodium salt at temperature +37°C. After that, correctness of needle introduction is estimated by ultrasonic visualisation of place and form of obtained drug infiltrate and entire procedure is repeated, after which solution is introduced until drug infiltrate of desired shape and size is not formed in cord canal. Needle is removed, skin in point of injection is processed with antiseptic and sterile bandage is applied.

EFFECT: method makes it possible to increase efficiency and safety of performing blockade of spermatic cord due to increase of accuracy of medications solution introduction.

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