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Four non-constricting ligatures were carefully positioned around the sciatic nerve using 4.0 chromic gut sutures, with intervals of ~ 1 mm between each to minimize muscle twitching upon knotting

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Allopurinol and febuxostat: to decrease production of uric acid Probenecid: to increase the excretion of uric acid Pegloticase: to increase the breakdown of uric acid Standard medications in preventing gout attacks i