{"id":"https://openalex.org/W2019984342","doi":"https://doi.org/10.1016/0304-3959(93)90202-z","title":"Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer","display_name":"Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer","publication_year":1993,"publication_date":"1993-08-01","ids":{"openalex":"https://openalex.org/W2019984342","doi":"https://doi.org/10.1016/0304-3959(93)90202-z","mag":"2019984342","pmid":"https://pubmed.ncbi.nlm.nih.gov/8233527"},"language":"en","primary_location":{"id":"doi:10.1016/0304-3959(93)90202-z","doi":"https://doi.org/10.1016/0304-3959(93)90202-z","is_oa":false,"landing_page_url":"https://doi.org/10.1016/0304-3959(93)90202-z","pdf_url":null,"source":{"id":"https://openalex.org/S140848990","display_name":"Pain","issn_l":"0304-3959","issn":["0304-3959","1872-6623"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090241942","display_name":"Oscar A. de Le\u00f3n-Casasola","orcid":"https://orcid.org/0000-0002-0837-9196","observed_orcids":["https://orcid.org/0000-0002-0837-9196"]},"institutions":[{"id":"https://openalex.org/I1292894508","display_name":"Roswell Park Comprehensive Cancer Center","ror":"https://ror.org/0499dwk57","country_code":"US","type":"facility","lineage":["https://openalex.org/I1292894508"]},{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Oscar A. de Leon-Casasola","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA","institution_ids":["https://openalex.org/I1292894508","https://openalex.org/I63190737"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007118043","display_name":"Edward A. Kent","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1292894508","display_name":"Roswell Park Comprehensive Cancer Center","ror":"https://ror.org/0499dwk57","country_code":"US","type":"facility","lineage":["https://openalex.org/I1292894508"]},{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward Kent","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA","Submitted July 6, 1992; revised December 11, 1992; accepted January 15, 1993"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA","institution_ids":["https://openalex.org/I1292894508","https://openalex.org/I63190737"]},{"raw_affiliation_string":"Submitted July 6, 1992; revised December 11, 1992; accepted January 15, 1993","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046579942","display_name":"Mark J. Lema","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1292894508","display_name":"Roswell Park Comprehensive Cancer Center","ror":"https://ror.org/0499dwk57","country_code":"US","type":"facility","lineage":["https://openalex.org/I1292894508"]},{"id":"https://openalex.org/I63190737","display_name":"University at Buffalo, State University of New York","ror":"https://ror.org/01y64my43","country_code":"US","type":"education","lineage":["https://openalex.org/I63190737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark J. Lema","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA","Submitted July 6, 1992; revised December 11, 1992; accepted January 15, 1993"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263 USA","institution_ids":["https://openalex.org/I1292894508","https://openalex.org/I63190737"]},{"raw_affiliation_string":"Submitted July 6, 1992; revised December 11, 1992; accepted January 15, 1993","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5090241942"],"corresponding_institution_ids":["https://openalex.org/I1292894508","https://openalex.org/I63190737"],"apc_list":null,"apc_paid":null,"fwci":2.4464,"has_fulltext":false,"cited_by_count":158,"citation_normalized_percentile":{"value":0.87593844,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"54","issue":"2","first_page":"145","last_page":"151"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.8769999742507935,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.8769999742507935,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.09300000220537186,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.026100000366568565,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-pelvic-pain","display_name":"chronic pelvic pain","score":0.9599999785423279},{"id":"https://openalex.org/keywords/cancer-pain","display_name":"cancer pain","score":0.8880000114440918},{"id":"https://openalex.org/keywords/phenols","display_name":"phenols","score":0.5879999995231628},{"id":"https://openalex.org/keywords/bupivacaine","display_name":"bupivacaine","score":0.8109999895095825},{"id":"https://openalex.org/keywords/opioid-sparing-analgesia","display_name":"opioid-sparing analgesia","score":0.7450000047683716},{"id":"https://openalex.org/keywords/gynecologic-cancer","display_name":"gynecologic cancer","score":0.8939999938011169},{"id":"https://openalex.org/keywords/colorectal-cancer","display_name":"colorectal cancer","score":0.9940000176429749},{"id":"https://openalex.org/keywords/urological-cancer","display_name":"genitourinary cancer","score":0.9800000190734863},{"id":"https://openalex.org/keywords/retroperitoneal-disease","display_name":"retroperitoneal disease","score":0.8999999761581421},{"id":"https://openalex.org/keywords/percutaneous-nerve-block","display_name":"percutaneous nerve block","score":0.800000011920929}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.894827127456665},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.6724419593811035},{"id":"https://openalex.org/C2778904085","wikidata":"https://www.wikidata.org/wiki/Q3712728","display_name":"Cancer pain","level":3,"score":0.6236092448234558},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.42946675419807434},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3907620906829834},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.36544960737228394},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2970755100250244},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10792332887649536},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.10152822732925415}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007001","descriptor_name":"Hypogastric Plexus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009020","descriptor_name":"Morphine","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D009020","descriptor_name":"Morphine","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D009407","descriptor_name":"Nerve Block","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017699","descriptor_name":"Pelvic Pain","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D017699","descriptor_name":"Pelvic Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D017699","descriptor_name":"Pelvic Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/0304-3959(93)90202-z","doi":"https://doi.org/10.1016/0304-3959(93)90202-z","is_oa":false,"landing_page_url":"https://doi.org/10.1016/0304-3959(93)90202-z","pdf_url":null,"source":{"id":"https://openalex.org/S140848990","display_name":"Pain","issn_l":"0304-3959","issn":["0304-3959","1872-6623"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"journal-article"},{"id":"pmid:8233527","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8233527","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W17874384","https://openalex.org/W1972462756","https://openalex.org/W1993155054","https://openalex.org/W1994845397","https://openalex.org/W2058998915","https://openalex.org/W2078876270","https://openalex.org/W2142471394","https://openalex.org/W2418495842","https://openalex.org/W2433285666"],"related_works":["https://openalex.org/W2253196272","https://openalex.org/W7063283834","https://openalex.org/W2142471394","https://openalex.org/W3013957944","https://openalex.org/W916756831","https://openalex.org/W2395964539","https://openalex.org/W4210651356","https://openalex.org/W3114109186","https://openalex.org/W2022175482","https://openalex.org/W2963232921"],"abstract_inverted_index":{"Twenty-six":[0],"patients":[1,26,81,97,123,164,205,226],"with":[2,61,142,227],"extensive":[3,228],"gynecologic,":[4],"colorectal":[5],"or":[6,41,236],"genitourinary":[7],"cancer":[8],"who":[9,30,165],"suffered":[10],"uncontrolled,":[11],"incapacitating":[12],"pelvic":[13],"pain":[14,33,86,101,127,200],"were":[15,50,64,161,183],"enrolled":[16],"in":[17,66,150,198,201,225,233],"this":[18],"study":[19],"during":[20,170],"a":[21,83,117,167,171,231],"1-year":[22],"period.":[23],"All":[24,80],"the":[25,37,94,155,181,204,219],"receiving":[27,72],"oral":[28,151],"opioids":[29],"developed":[31],"poor":[32,237],"response":[34,169],"due":[35],"to":[36,52,180],"progression":[38],"of":[39,48,89,91,106,131,174,203,210,218],"disease":[40],"untoward":[42],"side":[43],"effects":[44],"necessitating":[45],"other":[46],"modes":[47],"therapy":[49,141,153],"eligible":[51],"participate.":[53],"Bilateral":[54],"percutaneous":[55],"neurolytic":[56,156,190,213,220],"superior":[57,191],"hypogastric":[58,192],"plexus":[59,193],"blocks":[60,75,135,160,214],"10%":[62],"phenol":[63],"performed":[65],"every":[67],"patient,":[68],"1":[69,111],"day":[70],"after":[71,110,116,133,154],"successful":[73],"diagnostic":[74],"using":[76,215],"0.25%":[77],"bupivacaine":[78],"(BUP).":[79],"reported":[82],"visual":[84],"analog":[85],"score":[87],"(VAPS)":[88],"10":[90,92],"before":[93],"block.":[95,119],"Eighteen":[96],"(69%)":[98],"had":[99,125,166],"satisfactory":[100],"relief":[102],"(VAPS":[103,129],"<":[104],"4":[105],"10):":[107],"15":[108],"(57%)":[109],"block":[112,182,194],"and":[113,136],"3":[114],"(12%)":[115],"second":[118],"The":[120],"remaining":[121],"8":[122],"(31%)":[124],"moderate":[126,235],"control":[128],"4-7":[130],"10)":[132],"2":[134],"received":[137],"epidural":[138],"bupivacaine-morphine":[139],"(BUP-MS)":[140],"good":[143,168],"results.":[144],"Both":[145],"groups":[146],"experienced":[147,184],"significant":[148],"reductions":[149],"opioid":[152],"blocks.":[157],"No":[158,177],"additional":[159],"required":[162],"by":[163,185],"follow-up":[172],"period":[173],"6":[175],"months.":[176],"complications":[178],"related":[179],"any":[186],"patient.":[187],"In":[188],"conclusion,":[189],"was":[195],"both":[196],"effective":[197],"relieving":[199],"69%":[202],"studied":[206],"(95%":[207],"confidence":[208],"interval":[209],"48-85%).":[211],"Additional":[212],"higher":[216],"volumes":[217],"agent":[221],"may":[222],"be":[223,240],"needed":[224],"retroperitoneal":[229],"disease,":[230],"group":[232],"whom":[234],"results":[238],"should":[239],"expected.":[241]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-10-10T00:00:00"}
