Manual vacuum aspiration was done under
paracervical block/cervical infilteration with Lignocaine.
With Endosee, I was able to directly visualize the uterine cavity during her original appointment without using any pain medication or
paracervical block.
Intrauterine lidocaine infusion,
paracervical block with lidocaine, intravenous tenoxicam or 4ml intravenous normal saline administered prior to biopsy.
9) Other therapies include bilateral
paracervical block and pudendal block, which provide rapid onset analgesia (2-5 min); although useful, they require training and are risky in cases of placental insufficiency or prematurity.
Paracervical injection of vasopressin could further help reduce the risk of operative bleeding.
Having been known as the "lidocaine queen" in the Department of ObGyn at the Mayo Clinic, I feel strongly that gynecologic office procedures should always involve some form of anesthesia, whether with topical lidocaine, intracervical lidocaine, or
paracervical block.
A magnetic resonance imaging study (MRI) of the cervical spine without contrast showed right C4-C5 facet inflammatory arthropathy and a small epidural abscess with
paracervical soft tissue edema and inflammation.
A patient could be diagnosed as AD when he had pruritus history and three or more of the following characteristics: (1) history of flexor skin involvement, including fossa cubitalis, popliteal fossa, anterior talocrural region, or
paracervical region (cheek was also included for children less than 10 years of age); (2) history of bronchial asthma or hay fever (or the occurrence of AD in children less than 4 years of age among first-degree relatives); (3) history of dry skin in the whole body; (4) visible dermatitis in the flexor side; and (5) AD occurrence before 2 years of age for patients of more than four years of age.
A midline incision was made along the spinous processes of C3-C7 and the
paracervical muscles were stripped off the exposed C3-C7 laminae bilaterally.
They have looked at NSAIDs,
paracervical blocks, lidocaine gel, misoprostol, and nitroglycerin.
The new 6mm device requires less dilation and is designed to improve patient comfort - especially for patients under local anesthesia and/or
paracervical block in-office.
The earliest and most common metastases are by direct extension to contiguous structures, including the vagina, peritoneum, urinary bladder, ureter, rectum, and
paracervical tissues.
