Case Reports | Challenge Journal of Perioperative Medicine

Pericapsular nerve group (PENG) block as a sole anesthetic method for malignant soft tissue excision

Ela Nur Medetoglu, Veysel Koksal, Mehmet Akif Yilmaz, Elif Oral Ahiskalioglu

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Since its first description by Philippe WH Peng in 2018, the Pericapsular Nerve Group (PENG) block, a novel regional anesthetic procedure, has been gaining in popularity. In order to provide appropriate analgesia, an ultrasound-guided local anesthetic injection around the hip joint is performed.

We presented, in this case, the successful management of the PENG block for surgical anesthesia in the excision of a malignant soft tissue tumor in the proximal tibia of a 73-year-old female patient. Adequate sensory and motor blocks were obtained, allowing a 70-minute surgery without using additional analgesics. Postoperative pain scores were low, and the patient was discharged without complications.


pericapsular nerve group block; surgical anesthesia; high risk patient

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