Haynsworth ve Noa,1991 RF X fenol, 17 hasta 8 haftalık izlem: Fenol grubunda %89sempatik blok devamı (tertesti,ısı tayini); RF grubunda %12 Postsempatektomi nöralji fenolde %22,RF de %0. 1B
Cross ve Cotton,1985 bupivacaineXfenol,iskemik ağrı 37 hasta Çalışma grubunda 6 ay boyunca belirgin VAS azalması
Süperior hipogastrik blok Pelvik ağrılarda FBSS’de Alt batın tm.
Transdiscal approach for hypogastric plexus block. Erdine SErdine S, Yucel A, Celik M, Talu GK.Yucel ACelik MTalu GK Department of Algology, Medical Faculty of Istanbul, Istanbul University, Capa Klinikleri 34390, Istanbul, Turkey. firstname.lastname@example.org BACKGROUND AND OBJECTIVES: In this study, we have performed hypogastric plexus block using a posterior transdiscal approach in 20 patients diagnosed with pelvic pain because of cancer. METHODS: The L(5)-S(1) interdiscal space was identified with fluoroscopy. A needle attached to a 5-mL syringe was introduced through the disc and advanced under lateral fluoroscopic control until resistance was lost. After verifying proper position, 5 mL of 10% aqueous phenol was administered through the needle. After drawing back the needle, cephazolin 50 mg in 1 mL was administered to the disc to prevent discitis. The visual analog scale (VAS) values, daily analgesic requirements, and patient were evaluated before the procedure, at 24 hours and then every month for 3 months after the procedure. RESULTS: Disc puncture was performed without difficulty in all patients, there satisfaction were no complications associated with disc puncture such as discitis or disc rupture. Twelve patients had statistically significant pain relief immediately after the block (P <.05). Fifteen patients were satisfied after the block, and their daily analgesic requirement decreased significantly. No pain relief was observed in 5 patients. CONCLUSIONS: Transdiscal approach to the hypogastric plexus appears to be a safe and effective procedure. However, prospective randomized controlled studies comparing different approaches are needed to increase our knowledge of hypogastric plexus block. PMID: 12945023 [PubMed - indexed for MEDLINE]
Süperior hipogastrik blok 10 yayın 1PR, Gamal ve ark.,2006 Teknik karşılaştırılması Konvansiyonel yöntemXtransdiskal VAS, M kullanımı aynı, analjezi süresi transdiskal hipogastrik blok < 1B
Plancarte ve ark.,1997 Vaka serii 227, pelvik ağrı 1C
İmpar ganglion bloğu Perianal bölgeden kaynaklanan, rektum ve vaginaya yayılan, iyi lokalize edilemeyen yanıcı, tenesm tarzında ağrılarda endike
İmpar gangion bloğu,2005 3 vaka sunumu (1 hasta), 1 P çalışma, Reig ve ark., 13 hasta, non-malin perineal ağrı 1C
Tartışma Basamak tedavisi, tanımlanmış algoritmalar, ‘guideline’ lar Değerlendirme, Yarar-zarar oranının tespiti, açıklanması Yapılanların kayıt edilip,yayın haline getirilmesi Kostefektivite çalışmalarına ağırlık verilmesi
Sphenopalatine Ganglion Analgesia. Day M. Day M Texas Tech University Health Sciences Center, Department of Anesthesiology, 3601 4th Street, Room 1C282, Lubbock, TX 79430, USA. Curr Rev Pain. 1999;3(5):342-347 Curr Rev Pain.