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Related Experiment Videos

New technique for superior hypogastric plexus block.

G E Kanazi1, F M Perkins, R Thakur

  • 1Department of Anesthesiology, University of Rochester Medical Center, New York 14642, USA.

Regional Anesthesia and Pain Medicine
|September 28, 1999
PubMed
Summary
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This study introduces a novel anterior approach for superior hypogastric plexus (SHP) blocks, offering improved needle placement for pelvic pain management. The technique provided significant pain relief in patients with endometriosis.

Area of Science:

  • Pain Management
  • Interventional Pain Medicine
  • Pelvic Pain Treatment

Background:

  • The classical Plancarte technique for superior hypogastric plexus (SHP) blockade can present challenges in needle placement.
  • Chronic benign pelvic pain, often associated with conditions like endometriosis, significantly impacts quality of life.

Observation:

  • An anterior approach for SHP blockade using fluoroscopic guidance was performed on three patients (ages 21-34) with endometriosis-related pelvic pain.
  • Patients reported high baseline pain scores (7-8/10) and a pain duration of 2-4 years.

Findings:

  • All patients experienced immediate and significant pain relief post-procedure, with pain scores reducing to 0-4/10.
  • Pain relief duration varied from 1 to 14 days.
  • Fluoroscopic imaging confirmed accurate contrast localization at the L5 vertebral body.

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Implications:

  • This anterior approach offers a viable alternative for SHP blockade, potentially simplifying the procedure.
  • Effective pain management for chronic benign pelvic pain can be achieved through this fluoroscopically guided technique.
  • Further research may explore the broader applicability of this method in managing various causes of pelvic pain.