Karen hypogastric plexus block

From: Kimmi (ibkimmi@mindspring.com)
Sun Dec 26 19:38:23 1999


Karen, I have this procedure done twice. They were doing this procedure as test procedure if we got good results from this procedure they were going to recommend having the abdomen nerves cut. Nerve blocks can be great if they are blocking a certain area like an ovary nerve for example.For me they were trying to block many areas.Anyways the first nerve block failed completely,you could see when he injected the dyes that it would come to a complete stop because of the adhesions.I returned to the pain clinic a week or so later we I agreed to try another nerve block. I have to tell you this was an extremely painful procedure. The first was worse than the second,You are fully awake for this procedure where they took the scope through the back into the abdomen,they have to be extremely careful not to hit the other nerves,especially the main nerve which is the largest nerve that runs to your leg,having you wake if they poke the nerve they know they need to back off and adjust,he poked a few of the nerves and gave one good poke to my leg nerve which went up and crashed down on the table.I lost complete feeling in my leg for several days and regained feeling slowly over the next 10 days.Anyways I agreed to the procedure a second time,this time the block worked at 45 percent,We were happy with the result any relief is better than no relief,so we set up an appt with a specialist in Boston,I then went to see him and we discussed cutting the nerves in the abdomen.After our discussion and review of my chart he decided I was not a good canidate for this surgery.Even though I was willing to take the chances and risk that went along with this procedure he would not,the surgery would of only blocked pain in my mid area,pain on the right and left would not change,and I have pain in the entire abdomen not just mid line down. So depending on your area and problems the procedure may help you and I hope it will,if you have any questions about the procedure I would be happy to share more..Hugs Kimmi

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