Carbon dioxide gas endoscopy of the deep gluteal space

ABSTRACT: The treatment of hip and pelvic pain associated with abnormalities of the deep gluteal space has evolved and increasingly involves endoscopic techniques with a saline expansion medium. This investigation presents a surgical technique utilizing carbon dioxide as the insufflation medium for...

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Autores:
Gómez Hoyos, Juan Carlos
Martin, Hal David
Hatem, Munif
Pérez Carro, Luis
Khoury, Anthony N.
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/44689
Acceso en línea:
https://hdl.handle.net/10495/44689
Palabra clave:
Endoscopía
Endoscopy
Nalgas
Buttocks
Dióxido de Carbono
Carbon Dioxide
Nervio Ciático
Sciatic Nerve
https://id.nlm.nih.gov/mesh/D004724
https://id.nlm.nih.gov/mesh/D002081
https://id.nlm.nih.gov/mesh/D002245
https://id.nlm.nih.gov/mesh/D012584
Rights
openAccess
License
https://creativecommons.org/licenses/by/4.0/
Description
Summary:ABSTRACT: The treatment of hip and pelvic pain associated with abnormalities of the deep gluteal space has evolved and increasingly involves endoscopic techniques with a saline expansion medium. This investigation presents a surgical technique utilizing carbon dioxide as the insufflation medium for deep gluteal space endoscopy in 17 cadaveric hips. This technique was successful in 94% (16/17) of the hips, allowing for visualization of the sciatic nerve, posterior femoral cutaneous nerve, pudendal nerve, branch of the inferior gluteal artery crossing the sciatic nerve, piriformis muscle, hamstring tendon origin, and lesser trochanter. Our experience suggests that gas expansion presents several advantages over fluid expansion.