COMPARISON BETWEEN SUPERIOR HYPOGASTRIC PLEXUS BLOCK VERSUS ANALGESICS FOR PAIN IN LOWER ABDOMINAL MALIGNANCIES

Vandana A Kamble, Ananth Prasad Rao H T

Abstract


Introduction: In peripheral settings and in the present era with increasing amount of malignancy cases being detected and with timely interventions, a majority of people are benefited with early diagnosis and treatment. In our study, we hereby aim at reducing the inconvenience caused to the patient by employing the interventional neurolysis of the Superior Hypogastric plexus and to compare this modality with conventional medical therapy with analgesics.

Materials and methods: A retrospective study was conducted on patients with lower abdominal malignancy pain who has underwent Superior Hypogastric plexus block, in Yenepoya Medical College Hospital, Mangalore.  Written and informed consent was taken from all the patients undergoing block. The sample size we chose was total 26, 13 in each group based on inclusion and exclusion criteria. One patient was excluded from the study due to lack of follow ups. NRS(Numerical Rating Scale) scores and quality of sleep in terms of duration of hours of sleep noted at 24hrs, 1week, 1month, 3months and 6months.

Group A: patients underwent Hypogastric plexus block n=13

Group B:  patients who received only palliative analgesics n=13.

Results: Group A had lesser NRS scores when compared to Group B NRS scores. P value is significant at 24hrs, 1week, 1month, 3 month, and 6months with 0.00, 0.00, 0.00, 0.00 and 0.011 respectively.

And quality of sleep is also better in Group A when compared to Group B. p values are significant at 24hrs (0. 017), at 1week (0.006), at 1 month (0.019), and at 6months (0.023). p value is not significant at 3months.

Conclusion: Superior Hypogastric plexus block is better modality to treat pain when compared to analgesics in patients with lower abdomen cancer pain.


Keywords


superior hypogastric plexus block, NRS, malignancy.

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