Variation in practice of laparoscopic uterosacral nerve ablation: a European survey

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
Pallavi LattheK S Khan

Abstract

To examine the variation in current indications and surgical techniques for performing laparoscopic uterosacral nerve ablation (LUNA) in Europe, all consultants on the databases of the UK Royal College of Obstetricians and Gynaecologists (1569) and the European Society of Gynaecological Endoscopy (301) were surveyed. The questionnaire was returned by 719 (38% of 1870) of the gynaecologists contacted and 173 (24%) performed LUNA. Indications for LUNA, which included chronic pelvic pain (68%), dysmenorrhoea (66%), dyspareunia (39%) and endometriosis (60%), were similar across the United Kingdom and the rest of Europe. The European group were more likely to perform LUNA (62% versus 21%), completely transect the uterosacral ligaments (56% versus 36%) and at a distance of more than 2 cm from its cervical insertion (50% versus 21%) than the UK group. There is variation in the surgical techniques of performing LUNA in Europe and the techniques vary according to operator experience.

References

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Citations

Jul 17, 2010·Human Reproduction Update·J P DanielsUNKNOWN International LUNA IPD Meta-analysis Collaborative Group
Oct 20, 2005·The Cochrane Database of Systematic Reviews·M L ProctorN P Johnson
Apr 8, 2006·Journal of the Chinese Medical Association : JCMA·Chiou-Chung Yuan

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