A new technique for superior hypogastric plexus block: The posteromedian transdiscal approach

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dc.contributor.buuauthorTürker, Gürkan
dc.contributor.buuauthorBaşağan, Elif Moğol
dc.contributor.buuauthorGurbet, Alp
dc.contributor.buuauthorÖztürk, Çağatay
dc.contributor.buuauthorUçkunkaya, Nesimi
dc.contributor.buuauthorŞahin, Şükran
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Ortopedi Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-6503-8232tr_TR
dc.contributor.orcid0000-0003-3133-206Xtr_TR
dc.contributor.orcid0000-0002-3019-581Xtr_TR
dc.contributor.researcheridA-7994-2018tr_TR
dc.contributor.researcheridS-6686-2019tr_TR
dc.contributor.researcheridABH-1633-2020tr_TR
dc.contributor.researcheridAAI-6642-2021tr_TR
dc.contributor.scopusid7003400116tr_TR
dc.contributor.scopusid23982134100tr_TR
dc.contributor.scopusid35618853300tr_TR
dc.contributor.scopusid8230555600tr_TR
dc.contributor.scopusid6701807296tr_TR
dc.contributor.scopusid7102942724tr_TR
dc.date.accessioned2021-08-11T13:22:37Z
dc.date.available2021-08-11T13:22:37Z
dc.date.issued2005-07
dc.description.abstractSuperior hypogastric plexus block has been advocated for the treatment of cancer related pelvic pain. Neurolysis is usually established using the classical posterolateral approach in the prone position, in which correct placement of the needle is sometimes difficult due to vertebral anatomy and the patient's inability to lie prone. We describe an alternative posteromedian transdiscal approach under fluoroscopic guidance for the treatment of intractable pelvic pain in three patients, in whom the classical approach was not possible. The L5-S1 inter-discal space was identified with fluoroscopy. The needle was then introduced through the disc and advanced under lateral fluoroscopic control. After verifying correct needle placement, neurolysis was performed with 8 ml of 10% phenol solution. All patients had significant pain relief immediately after the block, lasting from 6 to 12 months, and their pain severity scores and opioid consumption were reduced by more than 50%. There were no complications such as discitis, disc rupture or nerve injury. Since this new posteromedian transdiscal approach provides easy access to the superior hypogastric plexus with a single puncture and with any patient position, it may be an alternative to the classical approach.en_US
dc.identifier.citationTürker, G. vd. (2005). "A new technique for superior hypogastric plexus block: The posteromedian transdiscal approach". Tohoku Journal of Experimental Medicine, 206(3), 277-281.en_US
dc.identifier.endpage281tr_TR
dc.identifier.issn0040-8727
dc.identifier.issue3tr_TR
dc.identifier.pubmed15942158tr_TR
dc.identifier.scopus2-s2.0-21244498594tr_TR
dc.identifier.startpage277tr_TR
dc.identifier.urihttps://doi.org/10.1620/tjem.206.277
dc.identifier.urihttps://www.jstage.jst.go.jp/article/tjem/206/3/206_3_277/_article
dc.identifier.urihttp://hdl.handle.net/11452/21410
dc.identifier.volume206tr_TR
dc.identifier.wos000229760700015tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherTohoku Univ Medical Pressen_US
dc.relation.journalTohoku Journal of Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHypogastric plexusen_US
dc.subjectPhenolen_US
dc.subjectBlocken_US
dc.subjectTransdiscalen_US
dc.subjectGeneral & internal medicineen_US
dc.subjectResearch & experimental medicineen_US
dc.subject.emtreeAmitriptylineen_US
dc.subject.emtreeFentanylen_US
dc.subject.emtreeGabapentinen_US
dc.subject.emtreeMorphineen_US
dc.subject.emtreeNonsteroid antiinflammatory agenten_US
dc.subject.emtreeOpiateen_US
dc.subject.emtreePhenolen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeAnalgesiaen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeCancer painen_US
dc.subject.emtreeCase reporten_US
dc.subject.emtreeDisease severityen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFluoroscopyen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeHypogastric plexusen_US
dc.subject.emtreeLumbar spineen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNauseaen_US
dc.subject.emtreeNeedleen_US
dc.subject.emtreeNerve blocken_US
dc.subject.emtreeNeurolysisen_US
dc.subject.emtreePain assessmenten_US
dc.subject.emtreePelvis pain syndromeen_US
dc.subject.emtreeRectum canceren_US
dc.subject.emtreeSacral spinal corden_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSedationen_US
dc.subject.emtreeSide effecten_US
dc.subject.emtreeTreatment outcomeen_US
dc.subject.emtreeVomitingen_US
dc.subject.scopusCeliac Plexus; Splanchnic Nerves; Cancer Painen_US
dc.subject.wosMedicine, general & internalen_US
dc.subject.wosMedicine, research & experimentalen_US
dc.titleA new technique for superior hypogastric plexus block: The posteromedian transdiscal approachen_US
dc.typeArticle
dc.wos.quartileQ3 (Medicine, general & internal)en_US
dc.wos.quartileQ4 (Medicine, research & experimental)en_US

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