Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain.
OBJECTIVE
The classic posterior approach of superior hypogastric block has several technical difficulties. The transdiscal approach is a novel and easier approach for superior hypogastric which overcome these technical difficulties.


METHODS
Thirty patients were randomly allocated to two groups: The transdiscal group and the classic group; visual analog scale pain scores, daily morphine consumption, duration of the procedure and side effects were recorded.


RESULTS
The duration of the procedure was significantly decreased in the transdiscal group (24.4+/-5.6 min) compared to the classic group (57.9+/-9.8 min). There were no significant differences between the 2 groups in daily morphine consumption and VAS pain scores. There was no discitis, disc rupture, or herniation in the transdiscal group.


CONCLUSIONS
The transdiscal approach for superior hypogastric plexus block in pelvic cancer pain is easier, safer, and more effective with less side effects than the classic approach.
Gamal
Ghada
G
Anesthesiology and Algology Department, National Cancer Institute, Cairo University, Egypt. ghadag81266@hotmail.com
Helaly
Maie
M
Labib
Yasser M
YM
D000368:Aged; D000701:Analgesics, Opioid / Q000008:administration & dosage; D001340:Autonomic Nerve Block / Q000379:methods*; D005260:Female; D006801:Humans; D007001:Hypogastric Plexus / Q000033:anatomy & histology / Q000187:drug effects; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D010147:Pain Measurement / Q000379:methods; D010386:Pelvic Neoplasms / Q000150:complications; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D013131:Spine; D013997:Time Factors
D000701:Analgesics, Opioid; D009020:Morphine