Résumé
Pour obtenir le soulagement des douleurs périnéales dues à un cancer avancé, une aiguille fine isolée par un manchon de Maflon est insérée au niveau de l’espace intervertébral L5-S1. La stimulation électrique de contrôle évoque des sensations déplaisantes de l’aire douloureuse. La coagulation est faite sous contrôle de la température. Les résultats obtenus chez 39 patients n’ont montré qu’un effet analgésique de courte durée. Par contre, le ténesme a été contrôlé d’une façon durable dans tous les cas étudiés. La méthode ne présente pas d’effets secondaires importants et elle est généralement bien supportée.
Summary
In order to obtain relief from perineal pain a teflon coated needle connected with a radiofrequency apparatus has been inserted intrathecally in L5-S1.
Unpleasant sensations have been evoked in the painful area by electrical stimulation. The results obtained in 39 patients show that radiofrequency coagulation has only a transitory effect on pain, while it proves to be very effective in controlling tenesmus. In fact in the 17 patients who presented this symptom the relief was satisfactory and long lasting. Furthermore, this technique produced no significant side effect and has been well supported.
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De Conno, F., Saita, L. & Ventafridda, V. La thermocoagulation contrôlée au niveau de L5-S1 dans les algies périnéales dues à un cancer avancé. Doul. et Analg. 1, 79–82 (1988). https://doi.org/10.1007/BF03006127
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DOI: https://doi.org/10.1007/BF03006127