Unilateral, Single Needle Approach Using an Epidural Catheter for Bilateral Superior Hypogastric Plexus Block
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The superior hypogastric plexus block (SHPB) is used for treating pelvic pain, especially in patients with gynecological malignancies. Various approaches to this procedure have been reported due to the anatomic obstacles of a high iliac crest or large transverse process of the 5th lumbar vertebra. Here, we report a new technique of superior hypogastric plexus block using a unilateral single-needle approach to block the bilateral superior hypogastric plexus with a Tuohy needle and epidural catheter. We have confidence that this new technique can be another option in performing the SHPB when the conventional bilateral approach is difficult to perform.
Abstract
The superior hypogastric plexus block (SHPB) is used for treating pelvic pain, especially in patients with gynecological malignancies. Various approaches to this procedure have been reported due to the anatomic obstacles of a high iliac crest or large transverse process of the 5th lumbar vertebra. Here, we report a new technique of superior hypogastric plexus block using a unilateral single-needle approach to block the bilateral superior hypogastric plexus with a Tuohy needle and epidural catheter. We have confidence that this new technique can be another option in performing the SHPB when the conventional bilateral approach is difficult to perform.
참고문헌 (7)
- Plancarte R, "Superior hypogastric plexus block for pelvic cancer pain", Anesthesiology, 73, pp.236~239 (1990)
- Nabil D, "Evaluation of posteromedial transdiscal superior hypogastric block after failure of the classic approach", Clin J Pain, 26, pp.694~697 (2010)
- Waldman SD, "Superior hypogastric plexus block using a single needle and computed tomography guidance: description of a modified technique", Reg Anesth, 16, pp.286~287 (1991)
- Kanazi GE, "New technique for superior hypogastric plexus block", Reg Anesth Pain Med, 24, pp.473~476 (1999)
- Ina H, "New technique for the neurolytic celiac plexus block: the transintervertebral disc approach", Anesthesiology, 85, pp.212~217 (1996)
- Turker G, "A new technique for superior hypogastric plexus block: the posteromedian transdiscal approach", Tohoku J Exp Med, 206, pp.277~281 (2005)
- Lee YW, "Trans-intervertebral disc approach of superior hypogastric plexus block for pelvic cancer pain a retrospective study", J Korean Pain Soc, 13, pp.202~207 (2000)