Three techniques
Paracervical blockade: an anesthetic is injected on the sides of the cervix through the vaginal vaults - after 3-5 minutes the cervix and lower segment of the uterus are insensitive, which makes it possible to comfortably perform curettage, office hysteroscopy, insertion of an IUD, biopsy in patients who do not want anesthesia. Paralymphatic blockade: drugs are injected into the paravaginal tissue along the lymphatic tract - used in a course for chronic inflammatory and adhesive processes, pelvic pain, for the delivery of antibiotics and enzymes to the site. Shkolnikov block (intrapelvic): an anesthetic is injected into the iliac fossa to the inner surface of the ilium - blocks the lumbar plexus, relieves pain and spasm during pelvioperitonitis, parametritis, after operations and pelvic injuries. The doctor chooses the technique according to the purpose; therapeutic blockades are performed in a course of 3–5 procedures.
Indications
- anesthesia for outpatient procedures: canal expansion, curettage, hysteroscopy, insertion of an IUD, biopsy, polyp removal (paracervical);
- chronic pelvic pain, adhesions, subacute inflammation of the appendages, parametritis - therapeutic course blockades;
- painful menstruation (dysmenorrhea) that cannot be treated;
- cervical spasm, pain after surgery and childbirth, pelvioperitonitis in the subsiding stage (Shkolnikov block).
How it works
The anesthetic temporarily turns off the nerve plexuses innervating the neck and pelvis, which provides complete pain relief from manipulations without anesthesia, and in case of chronic pain, it interrupts the pathological pain reflex, relieves spasms and improves blood flow; added anti-inflammatory and enzyme drugs act directly at the site. A course of 3–5 blockades for inflammatory and adhesive processes reduces pain for a long time. The three methods differ in the point of introduction and area of action and are selected by the doctor according to the task.
