Abstract
Superior hypogastric plexus block and subsequent chemical ablation are commonly performed for cancer pain of the pelvis and occasionally for other chronic intractable pelvic pain. This chapter provides a step-by-step guide on how to perform the transdiscal approach safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.
Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).
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Suggested Reading
Erdine S, Yucel A, Celik M, Talu GK. Transdiscal approach for hypogastric plexus block. Reg Anesth Pain Med. 2003;28:304–8.
Gamal G, Helaly M, Labib YM. Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain. Clin J Pain. 2006;22:544–7.
Stogicza A. Hypogastric plexus block. In: Diwan S, Staats PS, editors. Atlas of pain medicine procedures. New York: McGraw-Hill. 2015;1918–60.
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The Superior Hypogastric chapter was reviewed by Sudhir Diwan; Miles Days; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Andre M. Mansano; Ricardo Plancarte; Athmaja Thottungal.
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Stogicza, A.R. (2020). Superior Hypogastric Plexus Block – Transdiscal Approach. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_23
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DOI: https://doi.org/10.1007/978-3-030-31741-6_23
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