Is superior hypogastric plexus block effective for treatment of chronic pelvic pain?

Autor:	Schmidt AP; Centro de Alívio da Dor do Hospital Mãe de Deus, Porto Alegre, RS. aschmidt@ufrgs.br, Schmidt SR, Ribeiro SM
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de anestesiologia [Rev Bras Anestesiol] 2005 Dec; Vol. 55 (6), pp. 669-79.
DOI:	10.1590/s0034-70942005000600011
Abstrakt:	Background and Objectives: Hypograstric plexus block has been considered a safe and effective alternative for treat patients with chronic pelvic pain. Published studies available at MedLine on the subject were included and evaluated in this review. Contents: Some studies have documented superior hypogastric plexus block effectiveness in relieving pain and decreasing opioid consumption, mainly in cancer patients. However, studies had failures in method or design. Conclusions: New prospective and better-designed studies are still needed to confirm the effectiveness of hypogastric plexus block in relieving pelvic pain. These studies shall have stricter inclusion criteria, longer follow-up, and evaluation of other symptoms and quality of life before and after the procedure. Superior hypogastric plexus block should be recommended as alternative and not as primary therapy.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu