Unilateral, single needle approach using an epidural catheter for bilateral superior hypogastric plexus block.
Baik JS, Choi EJ, Lee PB, Nahm FS.
Korean J Pain. 2012 Jan;25(1):43-6. doi: 10.3344/kjp.2012.25.1.43. Epub 2012 Jan 2.
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 5(th) lumbar vertebra. Here, we report a new technique of superior hypogastric plexus block using a unilateral single-needle approach to block the bilateral superiorhypogastric 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.
KEYWORDS: catheter, hypogastric plexus, nerve block, pain
Walter
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