Dostali ALİYEV, Ümit AKKEMİK, İbrahim AŞIK

Kronik Pelvik Ağrıda Superior Hipogastrik Pleksus Blok Etkinliğinin Retrospektif Değerlendirilmesi

Amaç: Kronik ağrı hayat kalitesi ve fonksiyonel kapasiteyi olumsuz etkileyen bir nedendir. Kronik ağrı sendromlarının pek çoğunda olduğu gibi kronik pelvik ağrı da multimodal yaklaşım gerektirir. Konservatif tedavilere yanıt vermeyen olgularda hipogastrik pleksus blokajı ve nörolizis etkin olabilmektedir. Bu çalışmada, kronik pelvik ağrılı olgularda superior hipogastrik pleksus blokajının etkinliğini retrospektif olarak değerlendirdik. Yöntem: Kronik pelvik ağrısı (ağrı süresi>6 ay) olan ve floroskopi rehberliğinde superior hipogastrik pleksus blokajı yapılmış 40 hasta retrospektif olarak değerlendirilmiştir. Pelvik kanser ilişkili kronik pelvik ağrısı olan 19 hastada diagnostik blok sonrası nörolizis uygulanmıştır. Bulgular: Superior hipogastrik blok uygulanan hastaların vizüel analog skalası (VAS) işlem öncesi 8,8 iken işlemden 1 ay, 3 ay ve 6 ay sonraki VAS skorları sırasıyla 3,7, 2,2, 1,1 olarak kaydedilmiştir (p

Retrospective Evaluation of the Effectiveness of Superior Hypogastric Plexus Block in Chronic Pelvic Pain

Objective: Chronic pain is a cause that negatively affects the quality of life and functional capacity. As with most chronic pain syndromes, chronic pelvic pain requires a multimodal approach. Hypogastric plexus blockade and neurolysis may be effective in cases that do not respond to conservative treatments. In this study, we retrospectively evaluated the effect of hypogastric plexus blockade in patients with chronic pelvic pain. Methods: Forty patients with chronic pelvic pain (duration of pain> 6 months) who underwent hypogastric plexus block under fluoroscopy were evaluated retrospectively. Neurolysis was performed after diagnostic block in 19 patients with chronic pelvic pain associated with pelvic cancer. Results: While the visual analogue scale (VAS) of the patients who underwent superior hypogastric block was 8.8 before the procedure, the VAS scores at 1 month, 3 months and 6 months after the procedure were recorded as 3.7, 2.2, and 1.1, respectively (p

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