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Your search keyword '"Manuel J. B. C. Girão"' showing total 2 results
Start Over Author "Manuel J. B. C. Girão" Journal scientific reports
2 results on '"Manuel J. B. C. Girão"'

1. Laparoscopic approach to refractory extraspinal sciatica and pudendal pain caused by intrapelvic nerve entrapment

Author

Nucelio Lemos, Corey Sermer, Gustavo Fernandes, Augusta Morgado-Ribeiro, Andrea Rossos, Zi Ying Zhao, Manuel J. B. C. Girão, and Philip Peng

Subjects
Medicine, Science
Abstract

Abstract Entrapments of the intrapelvic portions of the lumbosacral plexus are an important extraspinal cause of sciatica and pudendal neuralgia. They can be treated using Laparoscopic Neuronavigation (LANN), a minimally invasive technique that has set the foundations of an emerging field in Medicine—Neuropelveology. This retrospective-prospective study analyzes the outcomes of 63 patients treated with the LANN technique over a 10 year time period. One year after surgery, 78.3% of patients reported clinically relevant pain reduction, defined as ≥ 50% reduction in Numeric Rating Scale (NRS) score; these results were maintained for a mean follow up of 3.2 years. Preoperative chronic opioid use (≥ 4 months of ≥ 10 mg morphine equivalents/day) was a predictor of poor surgical outcome—clinically relevant pain reduction was observed in only 30.8% in this group of patients, compared to 91.5% in patients not regularly taking opioids preoperatively (p

Published
2021
Full Text
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2. Laparoscopic approach to refractory extraspinal sciatica and pudendal pain caused by intrapelvic nerve entrapment

Author

Zi Ying Zhao, Manuel J. B. C. Girão, Nucelio Lemos, Andrea Rossos, Philip Peng, Corey Sermer, Augusta Morgado-Ribeiro, and Gustavo Bruniera Peres Fernandes

Subjects
Adult, Male, medicine.medical_specialty, Neuronavigation, Science, Article, Sciatica, 03 medical and health sciences, Medical research, 0302 clinical medicine, 030202 anesthesiology, medicine, Humans, Prospective Studies, Laparoscopy, Prospective cohort study, Pain Measurement, Pudendal Neuralgia, Retrospective Studies, 030219 obstetrics & reproductive medicine, Multidisciplinary, medicine.diagnostic_test, business.industry, Nerve Compression Syndromes, Pudendal neuralgia, Perioperative, Middle Aged, Decompression, Surgical, medicine.disease, Surgery, Analgesics, Opioid, Lumbosacral plexus, Treatment Outcome, Medicine, Female, medicine.symptom, Complication, business, Neurological disorders
Abstract

Entrapments of the intrapelvic portions of the lumbosacral plexus are an important extraspinal cause of sciatica and pudendal neuralgia. They can be treated using Laparoscopic Neuronavigation (LANN), a minimally invasive technique that has set the foundations of an emerging field in Medicine—Neuropelveology. This retrospective-prospective study analyzes the outcomes of 63 patients treated with the LANN technique over a 10 year time period. One year after surgery, 78.3% of patients reported clinically relevant pain reduction, defined as ≥ 50% reduction in Numeric Rating Scale (NRS) score; these results were maintained for a mean follow up of 3.2 years. Preoperative chronic opioid use (≥ 4 months of ≥ 10 mg morphine equivalents/day) was a predictor of poor surgical outcome—clinically relevant pain reduction was observed in only 30.8% in this group of patients, compared to 91.5% in patients not regularly taking opioids preoperatively (p

Published
2021
Full Text
View/download PDF

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