Case Reports | Challenge Journal of Perioperative Medicine

Suprainguinal fascia iliaca plane block for surgical anesthesia of thigh: A case report for excision of a giant mass

Ela Nur Medetoglu Koksal, Yunus Emre Karapinar, Nagihan Simsek, Erkan Cem Celik

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Suprainguinal plane block was defined by Hebbard in 2009 for postoperative analgesia purposes. It is aimed to block the femoral nerve, lateral femoral cutanaeus nerve and obturator nerve. In this case, we presented the successful surgical management of suprainguinal block in excision of a mass in the thigh. During the surgery, which lasted 80 minutes, additional analgesic was needed only during the femur curettage. Postoperative pain scores were low and the patient was discharged the next day.


interfascial plane blocks; liposarcoma; suprainguinal fascia iliaca plane block; surgical anesthesia

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Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach. Anaesthesia. 2011; 66(4):300-5.

Desmet M, Vermeylen K, Van Herreweghe I, Carlier L, Soetens F, Lambrecht S, et al. A longitudinal supra- inguinal fascia iliaca compartment block reduces morphine consumption after total hip arthroplasty. Reg Anesth Pain Med. 2017; 42(3):327-33.

Gürkan Y, Gedik CC, Darçın K, Manici M. Suprainguinal fascia iliaca block for distal femur tumor surgery. Agri. 2023; 35(2):115-6.

De Cassai A, Costa F. Editorial: Interfascial plane blocks. Front Med (Lausanne). 2022; 9:962487.

Aydin ME, Medetoglu EN, Yazici K, Colak A, Ahiskalioglu A. A combination of serratus and transverse thoracic muscle plane blocks as the main anesthetic method for a high-risk patient with pericardial tamponade. J Clin Anesth. 2021; 71:110204.

Gürbüz H. Ultrasonography-guided oblique subcostal transversus abdominis plane block in combination with ultrasonography-guided rectus sheath block for anaesthesia in abdominal wall surgery. Turk J Anaesthesiol Reanim. 2021; 49(1):63-6.

Toscano A, Balzani E, Capuano P, Vaninetti A, Perrucci C, Simonato E, et al. Awake cardiac surgery using the novel pectoralis-intercostal-rectus sheath (PIRS) plane block and subxiphoid approach. J Card Surg. 2022; 37(9):2923-6.

Azizoğlu M, Orekeci Temel G, Rumeli Atıcı Ş. Comparison of the effectiveness of suprainguinal fascia iliaca compartment block and patient-controlled analgesia for major hip surgeries in elderly patients. Turk J Anaesthesiol Reanim. 2020; 48(6):460-6.

Soulioti ED, Antonopoulos DG, Manikis DE, Kakisis ID, Matsota PK. Applying the suprainguinal approach of fascia iliaca compartment block for surgical anesthesia in a patient undergoing emergency femoral thrombectomy: A case report. Cureus. 2023; 15(8):e43605.

Genc C, Akdeniz S, Canikli S, Selcuk Kusderci H, Kefeli Celik H, Tulgar S. Ultrasound-guided suprainguinal fascia iliaca block as part of anesthesia management for lower extremity surgeries: A single-center retrospective cohort feasibility study. Cureus. 2023; 15(10):e47795.

Koc K, Kucukorculu Kucuk B, Ferli RB, Yesilyurt B, Guzel N, Tulgar S, et al. Comparison of the postoperative analgesic efficacy of ultrasound-guided suprainguinal fascia iliaca block applied with two different concentrations of bupivacaine in patients undergoing hip surgery under spinal anesthesia. Chall J Perioper Med. 2023; 1(1):2-5.


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