The Laparoscopic Approach to Control Intractable Pelvic Neuralgia: From Laparoscopic Pelvic Neurosurgery to the LION Procedure
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This paper describes laparoscopic neurolysis and neuroprosthesis implantation for seven patients with intractable pelvic neuralgia, demonstrating the technique's potential for diagnosis and treatment.
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Abstract
OBJECTIVE: To present different aspects and advantages of the laparoscopic approach to the pelvic nerves aimed at treating intractable pelvic neuralgia. METHODS: We report on a nonconsecutive series of 7 patients with different types and etiologies of chronic pelvic neuralgia, all of whom underwent laparoscopy. In all 7 cases, the neuralgia was refractory to medical management and had profound socioeconomic consequences for the patients. RESULTS: Techniques of laparoscopic transperitoneal neurolysis of several pelvic somatic nerves are described but also our technique of laparoscopic implantation of neuroprothesis for neuromodulation on somatic pelvic nerves or on autonomic pelvic nerves as the superior hypogastric plexus. DISCUSSION: Laparoscopic approach to the pelvic nerves opens new possibilities for the diagnosis and treatment of pelvic neuralgia, and offers new curative surgical techniques.
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Cited by (14)
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- Pelvic Pain 2020
- Five-Year Follow-Up After Laparoscopic Large Nerve Resection for Deep Infiltrating Sciatic Nerve Endometriosis 2017
- Laparoscopic implantation of electrodes for bilateral neuromodulation of the pudendal nerves and S3 nerve roots for treating pelvic pain and voiding dysfunction 2017
- Chronic Pelvic Pain: An Overview 2013
- Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial 2012
- Sacral Nerve Infiltrative Endometriosis Presenting as Perimenstrual Right-sided Sciatica and Bladder Atonia: Case Report and Description of Surgical Technique 2012
- Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management 2011
- Laparoscopic Therapy of Endometriosis and Vascular Entrapment of Sacral Plexus 2011
- Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery 2011
- Laparoscopic therapy for endometriosis and vascular entrapment of sacral plexus 2010
- Laparoscopic Management of Endopelvic Etiologies of Pudendal Pain in 134 Consecutive Patients 2009
- Laparoscopic management of neural pelvic pain in women secondary to pelvic surgery 2008
- Laparoscopic management of pudendal pain different endopelvic etiologies in 134 consecutive patients 2007
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