{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T05:57:53Z","timestamp":1771567073867,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,3,6]],"date-time":"2016-03-06T00:00:00Z","timestamp":1457222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Plancarte first described a fluoroscopy\u2010guided superior hypogastric plexus block to manage pelvic pain in 1990. Modifications have since been described using different imaging modalities. Ultrasound\u2010guided approach has been described in a clinical outcome study. However, the accuracy of an ultrasound\u2010guided method has never been validated by alternative imaging. We conducted an experiment aiming to develop ultrasound\u2010guided superior hypogastric plexus block using human cadavers in the supine position. Final needle position and spread of a radiopaque contrast was verified by fluoroscopy, a standard imaging tool. The needle approach to the L5 vertebral body was performed in the short axis as has been recommended. Injection of radiopaque contrast revealed unilateral and cephalad spread to the L5\/S1 disk. Additional transabdominal long\u2010axis scanning of the lumbosacral segment was and the needle trajectory was modified to aim for the apex of the L5\/S1 disk. Bilateral spread was achieved by strict midline placement of the needle tip and real\u2010time observation of injection. The modified ultrasound\u2010guided technique resulted in a similar spread of injectate as the traditional fluoroscopy\u2010guided technique that in a clinical scenario would offer complete block of the superior hypogastric plexus.<\/jats:p>","DOI":"10.1111\/papr.12437","type":"journal-article","created":{"date-parts":[[2016,3,6]],"date-time":"2016-03-06T11:36:46Z","timestamp":1457264206000},"page":"192-196","source":"Crossref","is-referenced-by-count":11,"title":["Ultrasound\u2010Guided Superior Hypogastric Plexus Block: A Cadaveric Feasibility Study with Fluoroscopic Confirmation"],"prefix":"10.1111","volume":"17","author":[{"given":"Michael","family":"Gofeld","sequence":"first","affiliation":[{"name":"Department of Anesthesia St Michael's Hospital University of Toronto Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan\u2010Whei","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesia St Michael's Hospital University of Toronto Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0352-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.trap.2005.05.007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199008000-00008"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1177\/0310057X0803600518","article-title":"Anterior ultrasound\u2010guided superior hypogastric plexus neurolysis in pelvic cancer pain","volume":"36","author":"Mishra S","year":"2008","journal-title":"Anaesth Intensive Care"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.trap.2014.01.014"},{"key":"e_1_2_6_7_1","first-page":"286","article-title":"Superior hypogastric plexus block using a single needle and computed tomography guidance: description of a modified 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