Anterior ultrasound-guided superior hypogastric plexus neurolysis in pelvic cancer pain.
The hypogastric plexus block is classically performed by a posterior approach, but there are recent reports of a computed tomography-guided anterior approach for patients who have difficult access to the hypogastric plexus by the posterior approach. We present two patients who were successfully given ultrasound-guided superior hypogastric plexus block by an anterior approach. The anterior ultrasound-guided superior hypogastric plexus neurolysis technique is simple to perform. We believe this block can be useful in cancer patients who are having difficulty in lying prone, because it is a bedside procedure performed in the supine position and it is less time-consuming. It also avoids the radiation exposure involved with a computed tomography-guided anterior approach.
Mishra
S
S
Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Bhatnagar
S
S
Gupta
D
D
Thulkar
S
S
D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D002045:Bupivacaine / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007001:Hypogastric Plexus / Q000000981:diagnostic imaging* / Q000187:drug effects; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010386:Pelvic Neoplasms / Q000150:complications*; D017699:Pelvic Pain / Q000188:drug therapy* / Q000209:etiology*; D016683:Supine Position; D018084:Ultrasonography, Interventional / Q000379:methods*
D000779:Anesthetics, Local; D002045:Bupivacaine