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Nerve Blockade and Interventional Therapy pp 163–167Cite as

Superior Hypogastric Plexus Block (X-Ray Fluoroscopy-Guided, CT-Guided)

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Abstract

Superior hypogastric plexus block (SHPB) involves injection of a local anesthetic or a neurolytic to the superior hypogastric plexus, which lies anterior to the fifth lumbar (L5) vertebra and the first sacral (S1) vertebra, to obtain a sympathetic nerve blocking effect. It is indicated for relief of pain originating from the pelvic viscera. It is frequently implemented by a transdiscal technique or, alternatively, by a paravertebral technique, under X-ray fluoroscopy observation or CT guidance in either case. The paravertebral technique is sometimes necessary because the insertion of the block needle by the transdiscal technique can prove anatomically difficult.

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References

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, Juntendo University Nerima Hospital, Tokyo, Japan

    Yutaka Tanabe

Authors
  1. Yutaka Tanabe
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Correspondence to Yutaka Tanabe .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Tokyo Medical University, Tokyo, Japan

    Kiyoshige Ohseto

  2. Department of Anesthesiology, Tokyo Medical University, Tokyo, Japan

    Hiroyuki Uchino

  3. Anesthesiology and Pain Medicine, Gifu University, Tokyo, Japan

    Hiroki Iida

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Tanabe, Y. (2019). Superior Hypogastric Plexus Block (X-Ray Fluoroscopy-Guided, CT-Guided). In: Ohseto, K., Uchino, H., Iida, H. (eds) Nerve Blockade and Interventional Therapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54660-3_41

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  • DOI: https://doi.org/10.1007/978-4-431-54660-3_41

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54659-7

  • Online ISBN: 978-4-431-54660-3

  • eBook Packages: MedicineMedicine (R0)

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