Medical Specialty:
Pain Management

Sample Name: Hypogastric Plexus Block

Description: Standard hypogastric plexus block procedure note.
(Medical Transcription Sample Report)

NAME OF PROCEDURE: Hypogastric plexus block.


PROCEDURE: The patient was in the operating room in the prone position with the back prepped and draped in sterile fashion. Local anesthesia was used to make a skin wheal 8-10 cm lateral to the L4 spinous process bilaterally from the midline. Starting from the left side, a 20-gauge 6-inch needle was placed to the left L5-S1 facet level under AP fluoroscopic view. On lateral view, the tip of the needle was at the inferior one-third of the LS vertebral body, anterior aspect. Next 5 cc of Omnipaque dye was injection showing a linear spread along the anterior portion of L5 down the sacral promontory. After negative aspiration 18 cc of 0.25% Marcaine plus 40 mg of Depo-Medrol was injection. There were no complications. The above sequence was repeated for the right side. There were no complications. The patient was discharged back to outpatient recovery in stable condition.

Keywords: pain management, vertebral body, fluoroscopic view, omnipaque, hypogastric plexus block,