Laparoscopic Superior Hypogastric Blocks for Postoperative Pain Management in Hysterectomies: A New Technique for Superior Hypogastric Blocks

Abstract

Intraoperative SHP block is a preferable modality for postoperative analgesia in patients undergoing hysterectomy. The surgical laparoscopic modified anterior approach we describe is an uncomplicated and easily applicable method. More effective results would be seen if used together with wound site local anesthetic infiltration or abdominal wall plane blocks. (Clinical trial registration no. NCT03427840.).

Superior Hypogastric Plexus Nerve Block in Minimally Invasive Gynecology: A Randomized Controlled Trial

“…This demonstrated intra-abdominal access to the SHP as opposed to previous CT percutaneous guidance. A later observational trial by Atyuluk was the first clinical trial to examine SHPB at laparoscopy (20). The positive results from this trial paving the way for our RCT.…”

Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper

“…There are limited data supporting the effectiveness of this technique in patients requiring MIGS. The only study, a single nonrandomized prospective trial, suggested that SHP may reduce postoperative pain along with opioid and NSAID consumption [112]. The complexities of this procedure, the required surgeon learning curve, and the potential associated risks preclude its widespread use.…”

Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study

“…A few studies have investigated SHP block in patients undergoing a hysterectomy ( 11 - 13 ). Aytuluk et al reported that patients who were administered SHP block when undergoing laparoscopic hysterectomy had significantly lower VAS scores 1, 6, 12, 24, and 48 hours postoperatively ( 12 ). We also found significantly lower VAS scores in the SHP block group 2, 6, 24, and 48 hours postoperatively after a cesarean section.…”