LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN

- Frontmatter - Contents - Contributing Authors - Forewords - Preface - 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY - 2 EQUIPMENT - 3 ANESTHESIA - 4 LAPAROSCOPIC ACCESS - 5 LAPAROSCOPIC SUTURING - 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY - 7 FERTILITY - 8 HYSTEROSCOPY - 9 MANAGEMENT OF ADNEXAL MASSES - 10 ENDOMETRIOSIS - 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION - 12 LEIOMYOMAS - 13 HYSTERECTOMY - 14 PELVIC FLOOR - 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN - 16 GYNECOLOGIC MALIGNANCY - 17 LAPAROSCOPY IN THE PREGNANT PATIENT - 18 MINIMAL ACCESS PEDIATRIC SURGERY - 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007 - 20 COMPLICATIONS IN LAPAROSCOPY - 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS - 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES - 23 ROBOT-ASSISTED LAPAROSCOPY - 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER - 25 OVERVIEW OF COMPLICATIONS - Appendix - Atlas - Index Published online by Cambridge University Press: 23 December 2009 Book contents - Frontmatter - Contents - Contributing Authors - Forewords - Preface - 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY - 2 EQUIPMENT - 3 ANESTHESIA - 4 LAPAROSCOPIC ACCESS - 5 LAPAROSCOPIC SUTURING - 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY - 7 FERTILITY - 8 HYSTEROSCOPY - 9 MANAGEMENT OF ADNEXAL MASSES - 10 ENDOMETRIOSIS - 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION - 12 LEIOMYOMAS - 13 HYSTERECTOMY - 14 PELVIC FLOOR - 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN - 16 GYNECOLOGIC MALIGNANCY - 17 LAPAROSCOPY IN THE PREGNANT PATIENT - 18 MINIMAL ACCESS PEDIATRIC SURGERY - 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007 - 20 COMPLICATIONS IN LAPAROSCOPY - 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS - 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES - 23 ROBOT-ASSISTED LAPAROSCOPY - 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER - 25 OVERVIEW OF COMPLICATIONS - Appendix - Atlas - Index Presacral neurectomy is useful in the treatment of severe, disabling dysmenorrhea secondary to endometriosis and pelvic pain associated with pelvic inflammatory disease. The efficacy of presacral neurectomy for the relief of midline dysmenorrhea was confirmed by a randomized study performed at the Johns Hopkins University School of Medicine. Tjaden used the surgical technique first described in 1899 by Jaboulay and Ruggi. Black estimated a 75% to 80% success in 9937 cases of presacral neurectomy. Laparoscopic techniques for presacral neurectomy have been described by Perez, Biggerstaff, Carter, Chen, and Nezhat. Kwok reviewed laparoscopic presacral neurectomy and concluded that patients for whom this operation is recommended should be carefully selected. They should have midline dysmenorrhea as the main symptom and should have failed or not tolerated medical therapy. Presacral neurectomy has been shown to have long-run effectiveness for the treatment of severe dysmenorrhea due to endometriosis. As has been pointed out by Stones and Jacobson, a percentage of women with chronic pelvic pain and/or dysmenorrhea do not respond or respond poorly to medical treatment. Surgery may represent the final therapeutic option for these patients. In a prospective double-blind randomized, controlled study, Zullo et al. demonstrated the effectiveness of presacral neurectomy for women with severe dysmenorrhea due to endometriosis who had been treated with conservative laparoscopic surgical intervention. - Type - Chapter - Information - Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy , pp. 425 - 434Publisher: Cambridge University PressPrint publication year: 2008 Accessibility compliance for the PDF of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN - - Book: Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy - Online publication: 23 December 2009 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN - - Book: Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy - Online publication: 23 December 2009 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN - - Book: Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy - Online publication: 23 December 2009