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  • Title: Anterior ultrasound-guided superior hypogastric plexus neurolysis in pelvic cancer pain.
    Author: Mishra S, Bhatnagar S, Gupta D, Thulkar S.
    Journal: Anaesth Intensive Care; 2008 Sep; 36(5):732-5. PubMed ID: 18853596.
    Abstract:
    The 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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