• Korean J Pain · Jan 2012

    Case Reports

    Unilateral, single needle approach using an epidural catheter for bilateral superior hypogastric plexus block.

    • Ji Seok Baik, Eun Joo Choi, Pyung Bok Lee, and Francis Sahngun Nahm.
    • Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
    • Korean J Pain. 2012 Jan 1; 25 (1): 43-6.

    AbstractThe 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 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.

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