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KMID : 0363119920050010108
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Korean Journal of Pain
1992 Volume.5 No. 1 p.108 ~ p.112
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Superior Hypogastric Plexus Blocks for Malignant Pelvic Pain.
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Abstract
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Pain from pelvic cancer is very difficult ot manage because it's vague ness and bilateral nature. Furthermore, nerve blocks in this area are dangerous because sensory afferent nerves from pelvic viscera are adjacent to nerves that regulate bowel
and
bladder control, and motor nerve of lower extremities.
Bilateral lumbar sympathectomy has been used for malignant pelvic pain with little risk of neurologic complication. However it is not a specific block for pelvic visceral pain, because the lumbar sympathetic chain does not innervate pelvic
viscera
in a
direct manner. Therefore the potentials of lumbar sympathectomy for pelvic visceal pain are attributed to caudaddiffusion of neurolytic agents to the smperior hypogastric plexus.
I have experienced 3 cases of superior hypogastric plexus neurolysis per se without any significant complications.
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KEYWORD
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