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The use of minilaparoscopy for conscious pain mapping

Conscious pain mapping via minilaparoscopy is a technique designed to localize the source of abdominal pain by taking advantage of the best monitor for pain-the patient. The areas of concern are examined laparoscopically in a lightly sedated patient. The patient then directs the physician to the area of concern. Careful in vivo examination often reveals pathologic conditions that are not recognized by other means. When the source of pain has been identified, subsequent treatment steps are often clear. When the pain source is localized to a nerve, such as the genitofemoral nerve, a cryoanesthetic block can be placed on the nerve with direct visualization. If conscious pain mapping assessment is correct, placement of the cryoanesthetic block should render the patient's pain improved. Cryoanesthesia provides a reversible, nondestructive nerve block. This allows for assessment of blockade well beyond the placebo period and may have an effect on central nervous system wind-up. Copyright © 2001 by W.B. Saunders Company http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Techniques in Regional Anesthesia and Pain Management Elsevier
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