title: Acupunctural reflexotherapy as anaesthesia in day-surgery cases. Our experience in left internal vein ligature for symptomatic varicocele and in circumcision.
abstract: Acupunctural reflexotherapy has been performed in patients during minimally invasive treatments for benign prostatic hyperplasia and in patients with lower urinary tract symptoms. We report two cases of left internal spermatic vein ligature for varicocele and a case of circumcision using acupunctural reflexotherapy, a procedure, to our knowledge, never applied before in open surgery. A 38 and a 24 years old male patients came to our observation for a 2nd degree symptomatic left varicocele and a 40 years old patient came to have a circumcision; they requested alternative anaesthesia for the operation and acupunctural reflexotherapy has been performed. This technique for analgesia can be useful and can be applied in selected cases, i.e. minor surgery in patients who do not wish or cannot have a general anaesthesia; it can be associated to other techniques of anaesthesia as peri- and post-operative analgesia. No contraindications nor collateral effects exist. The limits of this methods are represented by the length of time required for preparation of the patient and the existence of patients non-responder to electrostimulation.
authors.affiliation: Institute of Urology, Università Politecnica delle Marche Medical School, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Minardi
authors.forename: Luigi
authors.initials: L
authors.lastname: Ricci
authors.forename: Giovanni
authors.initials: G
authors.lastname: Muzzonigro
mesh_terms: D015667:Acupuncture Analgesia; D000328:Adult; D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000379:methods*; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control*; D008026:Ligation / Q000009:adverse effects; D008297:Male; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D014646:Varicocele / Q000601:surgery*