Difference between revisions of "Ring block"
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{{Box|Boxtext=<big><b>This procedure does NOT totally eliminate [[pain]]. A baby boy will still experience some [[pain]] and [[trauma]] with this analgesic procedure. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no [[pain]] or [[trauma]].</b></big>}} | {{Box|Boxtext=<big><b>This procedure does NOT totally eliminate [[pain]]. A baby boy will still experience some [[pain]] and [[trauma]] with this analgesic procedure. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no [[pain]] or [[trauma]].</b></big>}} | ||
| + | |||
| + | The [[penis]] is innervated by both dorsal and perineal nerves,<ref name="cepeda2023">{{REFjournal | ||
| + | |last=Cepeda-Emiliani | ||
| + | |first= | ||
| + | |init=A | ||
| + | |author-link=Alfonso Cepeda-Emiliani | ||
| + | |last2=Gándara-Cortés | ||
| + | |first2= | ||
| + | |init2=M | ||
| + | |author2-link= | ||
| + | |last3=Otero-Alén | ||
| + | |first3= | ||
| + | |init3=M | ||
| + | |author3-link= | ||
| + | |last4=García | ||
| + | |first4= | ||
| + | |init4=H | ||
| + | |author4-link= | ||
| + | |last5=Suárez-Quintanilla | ||
| + | |first5= | ||
| + | |init5=J | ||
| + | |author5-link= | ||
| + | |last6=García-Caballero | ||
| + | |first6= | ||
| + | |init6=T | ||
| + | |author6-link= | ||
| + | |last7=Gallego | ||
| + | |first7= | ||
| + | |init7=R | ||
| + | |author7-link= | ||
| + | |last8=García-Caballero | ||
| + | |first8= | ||
| + | |init8=R | ||
| + | |author8-link= | ||
| + | |etal=no | ||
| + | |title=Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis | ||
| + | |trans-title= | ||
| + | |journal= Int J Impot Res | ||
| + | |date=2023-05-02 | ||
| + | |volume=35 | ||
| + | |issue=3 | ||
| + | |article= | ||
| + | |page= | ||
| + | |pages=286-305 | ||
| + | |url=https://www.nature.com/articles/s41443-022-00561-9 | ||
| + | |archived= | ||
| + | |quote= | ||
| + | |pubmedID=35501394 | ||
| + | |pubmedCID= | ||
| + | |DOI=10.1038/s41443-022-00561-9 | ||
| + | |accessdate=2023-12-09 | ||
| + | }}</ref> therefore ring block can never be totally effective. | ||
{{REF}} | {{REF}} | ||
Revision as of 13:57, 9 December 2023
Ring block is the name of a nerve blocking local anesthesia procedure that is used to reduce the pain of non-therapeutic neonatal circumcision.
Ring block was proposed by Broadman et al. (1987) to reduce, not eliminate, the pain if a boy is to be circumcised. Broadman et al. also proposed the use of low-dose intravenous fentanyl for post-operative pain relief.[1]
Ring block is considered to be more effective than dorsal penile nerve block or EMLA cream.[2]
This procedure does NOT totally eliminate pain. A baby boy will still experience some pain and trauma with this analgesic procedure. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no pain or trauma.
The penis is innervated by both dorsal and perineal nerves,[3] therefore ring block can never be totally effective.
References
- ↑
Broadman LM, Hannallah RS, Belman, AB, Elder PT, Ruttimann, U, Epstein BS. Post-circumcision analgesia—a prospective evaluation of subcutaneous ring block of the penis 
. Anesthesiology. September 1987; 67(3): 399-402. PMID. DOI. Retrieved 25 November 2023.
- ↑ Lander J, Brady-Frerer B, Metcalfe JB, Nazerali S, Muttit S. Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision. JAMA. 24 December 1997; 278(24): 2157-64. PMID. Retrieved 24 November 2023.
- ↑ Cepeda-Emiliani A, Gándara-Cortés M, Otero-Alén M, García H, Suárez-Quintanilla J, García-Caballero T, Gallego R, García-Caballero R. Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis. Int J Impot Res. 2 May 2023; 35(3): 286-305. PMID. DOI. Retrieved 9 December 2023.
