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Anaesth Intensive Care · Sep 2008
Case ReportsAnterior ultrasound-guided superior hypogastric plexus neurolysis in pelvic cancer pain.
- S Mishra, S Bhatnagar, D Gupta, and S Thulkar.
- Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
- Anaesth Intensive Care. 2008 Sep 1; 36 (5): 732-5.
AbstractThe 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.
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