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Coaxial Imaging Technique for Superior Hypogastric Plexus Block
  1. Donald S. Stevens, M.D.,
  2. Gilbert R. Balatbat, M.D. and
  3. Francis M.K. Lee, M.D.
  1. From the Department of Anesthesiology, University of Massachusetts Hospital, Worcester, Massachusetts.
  1. Reprint requests: Donald S. Stevens, M.D., Department of Anesthesiology, University of Massachusetts Hospital, 55 Lake Ave North, Worcester, MA 01655.


Background and Objectives Previously described techniques for superior hypogastric plexus (SHP) block are technically difficult. A simple coaxial imaging technique for SHP block is described.

Methods and Results Fluoroscopic guidance for coaxial approach to SHP block is described. A successful block is easily achieved.

Conclusions A new approach to SHP block is described, which is technically effective. Other approaches involve more difficult needle angulations or use of computed tomography guidance. The coaxial technique avoids these issues and is easy to perform.

  • Superior hypogastric plexus block
  • Coaxial technique

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