Sacral Erector Spinae Plane Block for Gender Reassignment Surgery
Promil Kukreja, Paige Deichmann, J. Patrick Selph, John Hebbard, Hari Kalagara
Abstract
The erector spinae plane block (ESPB) is an interfascial plane block that has been used to provide perioperative analgesia for a variety of indications. This case report describes the novel use of the sacral ESPB on a transgender patient undergoing male-to-female gender reassignment surgery for perioperative pain control. The sacral ESPB technique was described and post-operative pain score and opioid requirements were reported. The sacral ESPB was successfully used as an alternative to neuraxial, caudal, or peripheral nerve blocks for gender reassignment surgery.
Topics & Concepts
MedicinePerioperativeNerve blockAnesthesiaSurgeryAnesthesia and Pain ManagementSpine and Intervertebral Disc PathologyNausea and vomiting management