PMID: 9050530Nov 1, 1994

Laparoscopic presacral neurectomy for treatment of midline pelvic pain

The Journal of the American Association of Gynecologic Laparoscopists
E D Biggerstaff, S N Foster

Abstract

To examine the efficacy and safety of laparoscopic presacral neurectomy (LPSN) as the initial surgical treatment of midline pelvic pain and dysmenorrhea; and to evaluate its effectiveness in conjunction with procedures to relieve lateral pelvic pain, such as excision of endometriosis and lysis of adhesions. A preoperative and postoperative self-rating with which patients classified pain on an ordinal scale of 0 to 5. A x<SUP>2<SUP> analysis of the data was performed. A private hospital in Savannah, Georgia. Twenty-seven women, age 15 to 41 years, who experienced severe midline dysmenorrhea and/or pain; 12 also had significant lateral pain. Laparoscopic presacral neurectomy was the primary intervention. Other procedures, including lysis of adhesions, excision and vaporization of endometriosis, and appendectomy were completed as adjuncts to LPSN. Ratings were completed by patients 5 to 35 months after surgery. Twenty-two women reported no midline pain, three had significant reduction of pain, and two had persistence of severe pain. Two of the 12 women with lateral pain reported that pain persisted. The LPSN is safe and effective as an initial surgical intervention for treating midline dysmenorrhea and pelvic pain, and when it is ...Continue Reading

References

Mar 27, 2001·Journal of Women's Health & Gender-based Medicine·C A Winkel, A R Scialli
Aug 19, 1999·Clinical Obstetrics and Gynecology·D C Martin, F W Ling
Feb 24, 2001·Obstetrical & Gynecological Survey·A KwokR Ford
Jul 17, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·A KwokR Ford
Sep 3, 2014·Human Reproduction Update·Nicolas BourdelMichel Canis
Nov 1, 1996·The Journal of the American Association of Gynecologic Laparoscopists·F M Howard
May 16, 2006·Journal of Minimally Invasive Gynecology·Yu ChangWu-Chou Lin
Jan 19, 2000·The Journal of Laboratory and Clinical Medicine·P FrancoisP Vaudaux
Jan 19, 2000·The Journal of Laboratory and Clinical Medicine·R A Proctor

Citations

Jul 1, 1992·American Journal of Obstetrics and Gynecology·G B CandianiG Di Nola
Aug 1, 1991·The Australian & New Zealand Journal of Obstetrics & Gynaecology·D J Hill, P J Maher
Mar 4, 1994·Journal of Gynecologic Surgery·C P Perry, J Perez

Related Concepts

Fat Pad
Visual Analog Pain Scale
Laser Coagulation
Surgery, Day
Endometrioma
Dysmenorrhea
Inferior Hypogastric Plexus Structure
Dyspareunia
Visceral Peritoneum
Safety

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