Fluoroscopic &Ultrasonographic Guidance of Superior Hypogastric Plexus Neurolysis in Intractable Pelvic Pain

Assiut University

Status: Completed

Conditions: Intractable Pelvic Cancer Pain

Treatments: Procedure: double modality (ultrasound and fluroscopic) guided block; Procedure: fluroscopic guided block

Study type: Interventional

Funder types: Other

Identifiers

NCT03606811

IORG0003301

Details and patient eligibility

About

fluoroscopic group & includes 30 patients where SHPB will be done Fluoroscopic-guided (the posterior oblique trajectory technique.the double modality group & includes 30 patients where SHPB will be done using our described new technique of performing the modified Mishra technique by injecting 3-5 ml of contrast media (lohexol=omnipaque) after getting the target position.

Enrollment: 60 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Age > 18 years.
• Intractable pelvic cancer pain (VAS > 40 mm)
• Pain is refractory to pharmacotherapy (both opioids and adjuvant therapy) or opioids' side effects are not tolerated.

Exclusion criteria

• Local or systemic sepsis.
• Uncorrectable coagulopathy.
• Neuropsychiatric illness.
• History of drug abuse.
• Pregnant or lactating patients.
• Distorted local anatomy.
• Patients who are known to be allergic to the used medications.
• Cardiovascular or respiratory instability.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

fluroscopic guided block

Active Comparator group

Treatment:

Procedure: fluroscopic guided block

double modality guided block

Experimental group

Treatment:

Procedure: double modality (ultrasound and fluroscopic) guided block