The Optimal Oblique and Axial Angle of Fluoroscope for Superior Hypogastric Plexus Block

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01604837

Enrollment

268

Registered

2012-05-24

Start date

2012-04-30

Completion date

2012-12-31

Last updated

2013-12-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Pelvic Pain, Pelvic Malignancy, Superior Hypogastric Plexus Block

Keywords

superior hypogastric plexus block, pelvic malignancy, chronic pelvic pain

Brief summary

The recommended entry angle for superior hypogastric plexus block is different among references, and there is a need for suggesting a more accurate entry angle for this procedure. The investigators are trying to evaluate the entry angle for superior hypogastric plexus block by measuring these angle on the computed tomography image and apply these angle to the real patients.

Detailed description

Superior hypogastric plexus block is a kind of sympathetic plexus block which are used to control the pelvic pain caused by malignancy or other chronic condition. Classic posterior approach for this procedure is inserting the block needle at L4 -5 level and proceed the needle 45 degrees medially and 30 degrees caudally to reach the target of anterolateral space of L5 - S1 intervertebral space. Waldman et al. introduced a different angle of 30 degrees medial and caudal with the same approach, while Stevens et al. recommended 15 degrees medial and 20 degrees caudal. As such, the recommended angle for this procedure is different among references, and there is a need for suggesting a more accurate entry angle for this procedure. Therefore, we are trying to evaluate the entry angle for superior hypogastric plexus block by measuring these angle on the computed tomography image and apply these angle to the real patients.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Eligibility

Sex/Gender

ALL

Age

20 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Those undergoing abdominopelvic CT scan with pelvic malignancy or chronic pelvic pain with constitutional disease

Exclusion criteria

* Poor CT image with non-measurable axial or oblique entry angle

Design outcomes

Primary

Measure	Time frame	Description
the oblique entry angle	1 month after abdominopelvic CT scan performed	the oblique entry angle of superior hypogastric plexus block at L5-S1 level

Secondary

Measure	Time frame	Description
the axial entry angle	1 month after abdominopelvic CT scan performed	the axial entry angle of superior hypogastric plexus block at L4-S1 level

Countries

South Korea

Outcome results