O Bloqueio do plexo hipogástrico superior é eficaz no tratamento de dor pélvica crônica?

André P Schmidt; Sérgio R G Schmidt; Sady M Ribeiro

doi:10.1590/S0034-70942005000600011

Review Article

O Bloqueio do plexo hipogástrico superior é eficaz no tratamento de dor pélvica crônica?

Is superior hypogastric plexus block effective for treatment of chronic pelvic pain?

André P Schmidt; Sérgio R G Schmidt; Sady M Ribeiro

http://dx.doi.org/10.1590/S0034-70942005000600011 Braz J Anesthesiol, vol.55, n6, p.669-679, 2005

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Resumo

JUSTIFICATIVA E OBJETIVOS: O bloqueio do plexo hipogástrico tem sido apresentado como uma alternativa segura e eficaz no tratamento de pacientes portadores de dor pélvica crônica. Os estudos publicados e disponíveis no MedLine, abordando este tema, foram incluídos e analisados nesta revisão. CONTEÚDO: Alguns estudos documentaram a eficácia do bloqueio do plexo hipogástrico superior em reduzir a intensidade da dor e o consumo de opióides, principalmente em pacientes com câncer. No entanto, os estudos apresentam falhas em seus métodos ou desenhos. CONCLUSÕES: Novos estudos prospectivos melhor conduzidos ainda são necessários para ratificar a efetividade do bloqueio do plexo hipogástrico no alívio de condições dolorosas pélvicas. Esses estudos devem possuir critérios de inclusão mais rigorosos, seguimento mais prolongado, avaliação de outros sintomas e da qualidade de vida antes e após o procedimento. O bloqueio do plexo hipogástrico superior deve ser recomendado como uma alternativa e não como terapêutica principal.

Palavras-chave

DOR, Crônica, DOR, Crônica, METODOLOGIA CIENTÍFICA, TÉCNICAS ANESTÉSICAS, Regional

Abstract

BACKGROUND AND OBJECTIVES: Hypograstric plexus block has been considered a safe and effective alternative for treat patients with chronic pelvic pain. Published studies available at MedLine on the subject were included and evaluated in this review. CONTENTS: Some studies have documented superior hypogastric plexus block effectiveness in relieving pain and decreasing opioid consumption, mainly in cancer patients. However, studies had failures in method or design. CONCLUSIONS: New prospective and better-designed studies are still needed to confirm the effectiveness of hypogastric plexus block in relieving pelvic pain. These studies shall have stricter inclusion criteria, longer follow-up, and evaluation of other symptoms and quality of life before and after the procedure. Superior hypogastric plexus block should be recommended as alternative and not as primary therapy.

Keywords

ANESTHETIC TECHNIQUES, Regional, PAIN, Chronic, PAIN, Chronic, SCIENTIFIC METHODOLOGY, SCIENTIFIC METHODOLOGY

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O Bloqueio do plexo hipogástrico superior é eficaz no tratamento de dor pélvica crônica?

Is superior hypogastric plexus block effective for treatment of chronic pelvic pain?

André P Schmidt; Sérgio R G Schmidt; Sady M Ribeiro

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