Bu öğeden alıntı yapmak, öğeye bağlanmak için bu tanımlayıcıyı kullanınız: http://hdl.handle.net/11452/21410
Başlık: A new technique for superior hypogastric plexus block: The posteromedian transdiscal approach
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi Anabilim Dalı.
0000-0002-6503-8232
0000-0003-3133-206X
0000-0002-3019-581X
Türker, Gürkan
Başağan, Elif Moğol
Gurbet, Alp
Öztürk, Çağatay
Uçkunkaya, Nesimi
Şahin, Şükran
A-7994-2018
S-6686-2019
ABH-1633-2020
AAI-6642-2021
7003400116
23982134100
35618853300
8230555600
6701807296
7102942724
Anahtar kelimeler: Hypogastric plexus
Phenol
Block
Transdiscal
General & internal medicine
Research & experimental medicine
Yayın Tarihi: Tem-2005
Yayıncı: Tohoku Univ Medical Press
Atıf: Türker, G. vd. (2005). "A new technique for superior hypogastric plexus block: The posteromedian transdiscal approach". Tohoku Journal of Experimental Medicine, 206(3), 277-281.
Özet: Superior 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.
URI: https://doi.org/10.1620/tjem.206.277
https://www.jstage.jst.go.jp/article/tjem/206/3/206_3_277/_article
http://hdl.handle.net/11452/21410
ISSN: 0040-8727
Koleksiyonlarda Görünür:Scopus
Web of Science

Bu öğenin dosyaları:
Dosya Açıklama BoyutBiçim 
206_277.pdf330.47 kBAdobe PDFKüçük resim
Göster/Aç


Bu öğe kapsamında lisanslı Creative Commons License Creative Commons