New technique for superior hypogastric plexus block

Ghassan E. Kanazi, Kanazi GE, G E Kanazi, Perkins FM, F. M. Perkins, Thakur R, Rajni Thakur, R Thakur, Dotson E, Emily Dotson, E Dotson
Regional anesthesia and pain medicine · 1999 · vol. 24(5) , pp. 473–476 · doi:10.1016/s1098-7339(99)90018-4 · PMID:10499763 · W1982541545
article OA: closed CC0 ⤵ 7 in-corpus citations
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This paper describes a new fluoroscopically guided anterior approach for superior hypogastric plexus block, which provided significant immediate pain relief in three endometriosis patients.

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Abstract

BACKGROUND AND OBJECTIVES: : The classical technique for blocking the superior hypogastric plexus (SHP) described by Plancarte sometimes renders the desired needle placement difficult. This article describes an alternative approach for blocking the SHP. METHODS: Three patients with pelvic pain from endometriosis underwent an anterior approach to block the SHP with fluoroscopic guidance. The ages of the patients ranged from 21 to 34 years, pain duration ranged from 2 to 4 years, and pain score on a visual analog scale of 0-10 ranged from 7 to 8. RESULTS: All patients had significant pain relief immediately after the block. The pain scores postblock ranged from 0 to 4/10. The duration of pain relief varied from 1 to 14 days. The contrast material localized at the L5 vertebral body in the posteroanterior and lateral views. CONCLUSION: We present a new approach to block the SHP with fluoroscopic guidance in patients with chronic benign pelvic pain.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Hypogastric Plexus Hypogastric Plexus Nerve Block Adult Endometriosis Endometriosis Female Humans Needles Nerve Block Pain Measurement Pelvic Pain Pelvic Pain Pelvic Pain Ultrasonography

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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License: CC0 · commercial use OK