Selective Regional Anesthesia Options in Surgical Subspecialties

  • Hong Yan
  • Alan David Kaye
  • Henry Liu


Though the anatomy of most nerves is well understood, there are many variations in popularity of different selective nerve blocks in clinical practice despite the implementation of ultrasound technology. In this regard, iliohypogastric nerve, ilioinguinal nerve, genitofemoral nerve, and penile nerve blocks, though effective, are less often performed when compared with many other selective nerve blocks. Local pain, local anesthetic toxicity, bowel perforation, pelvic hematoma, hypotension, and subcutaneous hematoma are all potential complications, suggesting that precise technique and use of ultrasound are critical for consistent success without these type of side effects when providing these selective nerve blocks. Collectively, these blocks are valuable for a wide range of indications; however, an appreciation of anatomy and proper technique with ultrasound can improve efficacy and reduce potential side effects. In this regard, many groups have moved away from bupivacaine because of its potential toxicity with intravascular injection, while other groups still utilize bupivacaine, making good technique that is much more significant for ensuring best outcomes and patient safety.


Iliohypogastric nerve block Ilioinguinal nerve block Genitofemoral nerve block Penile nerve block 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hong Yan
    • 1
  • Alan David Kaye
    • 2
  • Henry Liu
    • 3
  1. 1.Department of AnesthesiologyWuhan Central HospitalWuhanChina
  2. 2.Department of AnesthesiologyLouisiana State University School of MedicineNew OrleansUSA
  3. 3.Department of Anesthesiology and Perioperative MedicineHahnemann University Hospital, Drexel University College of MedicinePhiladelphiaUSA

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