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Anterior (Abdominal) Cutaneous Nerve Block

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Pain Medicine

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Abstract

Anterior (abdominal) cutaneous nerve entrapment syndrome (ACNES) is a chronic focal abdominal wall pain along the lateral border of the rectus abdominis muscle where the anterior cutaneous branches of the intercostal nerves perforate the deep fascial layer and traverse it vertically in muscular foramina. ACNES occurs in up to 30 % of patients with chronic abdominal wall pain [1, 2].

CPT:

Injection, anesthetic agent; intercostal, single 64420

Injection, anesthetic agent; intercostal, multiple 64421

Ultrasound guidance 76942

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References

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The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

Author information

Authors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Ave, Suite 300, MSC 912, Charleston, SC, 29425-9120, USA

    M. Gabriel Hillegass III MD

  2. Division of Pain Medicine, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Ave, Suite 300, MSC 912, Charleston, 29425, SC, USA

    Ryan H. Nobles MD

Authors
  1. M. Gabriel Hillegass III MD
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  2. Ryan H. Nobles MD
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Corresponding author

Correspondence to M. Gabriel Hillegass III MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    R. Jason Yong

  2. Department of Anesthesia and Perioperative Medicine, Brigham and Women’s Hospital/Harvard Medical School, Boston, Massachusetts, USA

    Michael Nguyen

  3. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Ehren Nelson

  4. Harvard Medical School, Brigham and Women’s Health Care Center at Chestnut Hill, Center for Perioperative Research, Sedation for Interventional Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Richard D. Urman

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Hillegass, M.G., Nobles, R.H. (2017). Anterior (Abdominal) Cutaneous Nerve Block. In: Yong, R., Nguyen, M., Nelson, E., Urman, R. (eds) Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-43133-8_87

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  • DOI: https://doi.org/10.1007/978-3-319-43133-8_87

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43131-4

  • Online ISBN: 978-3-319-43133-8

  • eBook Packages: MedicineMedicine (R0)

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