Comparison of a new modified laparoscopic presacral neurectomy and conventional laparoscopic presacral neurectomy in the treatment of midline dysmenorrhea

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
C Y Y ChangW C Lin

Abstract

To describe a newly modified laparoscopic presacral neurectomy procedure and to evaluate the long-term benefits of the surgery as a treatment for midline dysmenorrhea. Eighty-eight reproductive female patients with midline dysmenorrhea were enrolled in the non-randomized prospective study. There were fifty-five patients in the modified laparoscopic presacral neurectomy (MLPSN) group and thirty-three patients in the conventional laparoscopic presacral neurectomy (LPSN) group. All patients received post-surgery follow-up of more than eight years for evaluation with respect to pain relief, recurrence, and complications. Upon receipt of surgery, the MLPSN and the LPSN groups both demonstrated a significant decrease (P<0.001) in the mean pain score when compared to the pre-surgery mean pain scores. However, the probability of recurrence during the eight years of follow-up was 81.8% (27 patients) in the LPSN group, compared to 43.6% (24 patients) in the MLPSN group, resulting in a significantly lower long-term recurrence rate in the MLPSN group, compared to the LPSN group (P<0.05). No patients in the MLPSN group had long-term complications and one patient had constipation after surgery in the LPSN group. The modified laparoscopic pre...Continue Reading

References

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Citations

Aug 1, 1992·British Journal of Obstetrics and Gynaecology·Ceana Nezhat, F Nezhat
Feb 1, 1990·American Journal of Obstetrics and Gynecology·B Patsner, J W Orr
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Related Concepts

Visual Analog Pain Scale
Autonomic Denervation
Recurrent Malignant Neoplasm
Osteoarthritis, Spine
Dysmenorrhea
Midline Cell Component
Inferior Hypogastric Plexus Structure
Colonic Inertia
Recurrence (Disease Attribute)
Pain Relief brand of acetaminophen

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