Symptoms and General Pathology

All Conditions

Nervous System Diseases

Rare Diseases

Pain

Pelvic Pain

Neurologic Manifestations

Chronic Graft Versus Host Disease

those with diagnosis of gynecologic or urologic malignancy

those with chronic pelvic pain with constitutional cause e.g. endometriosis

Woo Seog Sim, MD, PhD

Won Ho Kim, MD

Hye Won Song, MD

The recommended entry angle for superior hypogastric plexus block is different among references, and there is a need for suggesting a more accurate entry angle for this procedure. The investigators are trying to evaluate the entry angle for superior hypogastric plexus block by measuring these angle on the computed tomography image and apply these angle to the real patients.

Superior hypogastric plexus block is a kind of sympathetic plexus block which are used to control the pelvic pain caused by malignancy or other chronic condition. Classic posterior approach for this procedure is inserting the block needle at L4 -5 level and proceed the needle 45 degrees medially and 30 degrees caudally to reach the target of anterolateral space of L5 - S1 intervertebral space. Waldman et al. introduced a different angle of 30 degrees medial and caudal with the same approach, while Stevens et al. recommended 15 degrees medial and 20 degrees caudal. As such, the recommended angle for this procedure is different among references, and there is a need for suggesting a more accurate entry angle for this procedure. Therefore, we are trying to evaluate the entry angle for superior hypogastric plexus block by measuring these angle on the computed tomography image and apply these angle to the real patients.

The Optimal Oblique and Axial Angle of Fluoroscope for Superior Hypogastric Plexus Block

the oblique entry angle of superior hypogastric plexus block at L5-S1 level

the axial entry angle of superior hypogastric plexus block at L4-S1 level

Samsung Medical Center

Professor

Recurrence

Brachytherapy will be administered using the CivaSheet, a novel permanent LDR palladium-103 (Pd-103) planar brachytherapy device that is applied directly to the surgical resection bed.

CivaSheet

Brachytherapy

surgical resection

Abraham Wu, MD

This study is a pilot study of the CivaSheet, a new type of intraoperative radiation therapy (IORT) device that offers several advantages over existing techniques of performing IORT. The CivaSheet device in this study is already approved by the FDA and is not an experimental device. This study will allow us to determine how feasible it is to implant the CivaSheet into patients undergoing surgery for abdominal and pelvic tumors, and assess any possible side effects of the device. This study, if successful, may allow us to offer the CivaSheet more widely as treatment option to future patients.

Intraoperative Radiation Therapy for Locally Advanced or Recurrent Abdomino-pelvic Solid Tumors With the CivaSheet

A Pilot Feasibility Trial of Unidirectional Low Dose Rate Brachytherapy for Patients With Abdominal and Pelvic Malignancy Undergoing Surgical Resection Requiring Intraoperative Radiation Therapy

Feasibility is determined by successful implantation of the device into a patient who has been enrolled on the protocol and deemed appropriate for IORT at the time of surgery.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
The Optimal Oblique and Axial Angle of Fluoroscope for Superior Hypogastric Plexus Block	NCT01604837	Chronic Pelvic ... Pelvic Malignan... Superior Hypoga...		20 Years - 80 Years	Samsung Medical Center
The Optimal Oblique and Axial Angle of Fluoroscope for Superior Hypogastric Plexus Block	NCT01604837	Chronic Pelvic ... Pelvic Malignan... Superior Hypoga...		20 Years - 80 Years	Samsung Medical Center
Intraoperative Radiation Therapy for Locally Advanced or Recurrent Abdomino-pelvic Solid Tumors With the CivaSheet	NCT02902107	Abdominal Malig... Pelvic Malignan...	CivaSheet Brachytherapy surgical resect...	18 Years -	Memorial Sloan Kettering Cancer Center

Spots Global Cancer Trial Database for pelvic malignancy