The Role of Double Modality Ultrasonographic and Fluoroscopic Guided Superior Hypogastric Plexus Neurolysis in Treating Intractable Pelvic Cancer Pain: A Comparative Study

Superior hypogastric neurolytic block is performed to block visceral pelvic pain. This could be performed through the anterior approach guided by CT or ultrasound and through a posterior approach, guided by fluoroscopy or CT. Sixty adult patients with severe visceral pelvic pain (VAS>70 mm) were...

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Bibliographic Details
Published in:Journal of pain research 2021-01, Vol.14, p.1465-1473
Main Authors: Abdelghafar, Ekramy M, Othman, Ahmed H, Soliman, Mahmoud Salem, Kilany, Ayman, Shaaban, Mohammed H, Shaker, Ehab H
Format: Article
Language:English
Subjects:
Backache
Bladder
Cancer
Cancer pain
Care and treatment
Comparative analysis
Coronary vessels
fluoroscopy
Iodine
Medical imaging
Morphine
Narcotics
Oncology, Experimental
Original Research
Pain
Patient satisfaction
Patients
pelvic pain
Pelvis
Phenols
superior hypogastric block
Ultrasonic imaging
ultrasound
Vertebrae
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Summary:Superior hypogastric neurolytic block is performed to block visceral pelvic pain. This could be performed through the anterior approach guided by CT or ultrasound and through a posterior approach, guided by fluoroscopy or CT. Sixty adult patients with severe visceral pelvic pain (VAS>70 mm) were randomly divided into two groups. Group S: SHP block was done ultrasound guided using the anterior approach and confirmed by fluoroscopy. Group F: SHP block was done fluoroscopic guided using the posterior oblique approach. The VAS (visual analog scale), duration of the technique, time of X-ray exposure, patient satisfaction score, patient global impression of change (PGIC), quality of life score, and daily morphine consumption (mg/day) were measured pre-procedure and at the 1st, 4th, 8th, and 12th week after the procedure. In addition, any side effects of the procedure were recorded. There was a significant difference in VAS between the two groups (
ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S308743