Laparoscopic presacral neurectomy: a review.

Kwok A, Lam A, Ford R
Obstetrical & gynecological survey · 2001 · doi:10.1097/00006254-200102000-00023 · PMID:11219593
OA: closed
Full text JSON View on PubMed View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-09-01 ⓘ

This review examines the anatomy, technique, indications, and potential complications of laparoscopic presacral neurectomy as a surgical option for managing severe dysmenorrhea in women who remain resistant to pharmacological treatments.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-23 · read from full text ⓘ

This review article examines the evolution, anatomy, technique, and indications for laparoscopic presacral neurectomy as a treatment option for severe dysmenorrhea that is resistant to pharmacological management. The authors discuss the procedural details of this technically challenging operation, which has seen renewed interest due to its minimally invasive laparoscopic approach, while also outlining potential complications associated with the surgery. The paper aims to provide obstetricians and gynecologists with a comprehensive understanding of the autonomic nerve anatomy in the pelvis and the supporting literature for this intervention. Relevance to endometriosis: listed as a surgical option for managing pelvic pain and dysmenorrhea, conditions frequently associated with endometriosis, though the paper does not explicitly focus on the disease pathology itself.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Dysmenorrhea can be a severe and debilitating symptom in many women. Although most women may find adequate relief of symptoms from pharmacological approaches, there remain a few with resistant pain. Presacral neurectomy, although technically challenging, may be offered after other approaches are unsuccessful. The operation is now performed increasingly by the laparoscopic approach, which has revived this operation in some centers. The anatomy, technique, and indications as well as a review of the literature supporting this operation are reviewed. The potential complications of this operation are discussed also.
Full text 1,072 characters · extracted from oa-doi-fallback · click to expand
Laparoscopic Presacral Neurectomy: A Review - Adrian Kwok - Alan Lam - Robert Ford Dysmenorrhea can be a severe and debilitating symptom in many women. Although most women may find adequate relief of symptoms from pharmacological approaches, there remain a few with resistant pain. Presacral neurectomy, although technically challenging, may be offered after other approaches are unsuccessful. The operation is now performed increasingly by the laparoscopic approach, which has revived this operation in some centers. The anatomy, technique, and indications as well as a review of the literature supporting this operation are reviewed. The potential complications of this operation are discussed also. Target Audience: Obstetricians & Gynecologists, Family Physicians Learning Objectives: After completion of this article, the reader will be able to explain the evolution of presacral neurectomy, define the anatomy of the autonomic nerves of the pelvis, list the indications for presacral neurectomy, and summarize the data surrounding the presacral neurectomy operation.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc
last seen: 2026-09-13T09:25:22.628771+00:00
unpaywall
last seen: 2026-09-15T06:33:26.365676+00:00