PMID: 9397114Dec 16, 1997

The efficacy and complications of laparoscopic presacral neurectomy in pelvic pain

Obstetrics and Gynecology
F P Chen, Y K Soong

Abstract

To evaluate the efficacy and complications of laparoscopic presacral neurectomy in pelvic pain. We reviewed records of 655 patients receiving laparoscopic conservative surgery and laparoscopic presacral neurectomy for diagnoses including adenomyosis with dysmenorrhea (n = 55), moderate and severe endometriosis with dysmenorrhea (n = 127), minimal and mild endometriosis with dysmenorrhea (n = 208), primary dysmenorrhea (n = 99), and chronic pelvic pain with or without pathologic disease (n = 166). Pain relief was evaluated at least 12 months postoperatively. Pain relief was evaluated in 527 patients. Significant pain relief (no pain or mild pain requiring no medication) was found in 22 (52%) of 42 women with adenomyosis, in 75 (73%) of 103 with moderate to severe endometriosis with dysmenorrhea, in 123 (75%) of 164 with minimal to mild endometriosis with dysmenorrhea, in 64 (77%) of 83 with primary dysmenorrhea, and in 84 (62%) of 135 with chronic pelvic pain. There were four major complications (0.6%) that required further surgery, including injury of the right internal iliac artery (n = 1) and chylous ascites (n = 3). Three cases (0.5%) had laceration of the middle sacral vein controlled during laparoscopy. In addition, 485 (7...Continue Reading

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Related Concepts

Primary Dysmenorrhea
Pelvic Pain Occurs With Bowel Movement
Chronic Pelvic Pain of Female
Visual Analog Pain Scale
Endometrioma
Pelvic Pain Occurs With Urination
Severity of Illness Index
Pelvic Pain Decreasing in Frequency
Pelvic Pain Increasing in Severity
Dysmenorrhea

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