Laparoscopic presacral neurectomy - retrospective series
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This retrospective series identified twelve patients who underwent laparoscopic presacral neurectomy for severe midline dysmenorrhoea, with eight reporting significant symptom improvement.
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Abstract
A retrospective audit of medical records was conducted for one surgeon (AL). All patients who underwent laparoscopic presacral neurectomy for severe midline dysmenorrhoea were identified. Details of the preoperative symptoms, clinical findings and operative records were studied. Improvement of dysmenorrhoea was assessed according to a pain scale. Twelve patients who had a laparoscopic presacral neurectomy performed were identified. Eight patients reported significant improvement of symptoms, with a further two reporting mild improvement. Two patients failed to show any improvement of symptoms. We believe that the role of laparoscopic presacral neurectomy should be limited to patients with severe midline dysmenorrhoea not responding to the medical therapy. It may be a supplementary procedure to laparoscopic resection of endometriosis or adhesiolysis.
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Cited by (7)
- Neuropelveology for Endometriosis Management: A Systematic Review and Multilevel Meta-Analysis 2024
- Systematic review of endometriosis pain assessment: how to choose a scale? 2014
- The influence of adenomyosis in patients laparoscopically treated for deep endometriosis 2008
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Nerve pathways surgical interruption for chronic pelvic pain 2003
- Interrupción quirúrgica de las vías nerviosas en el dolor pélvico crónico 2003
- INTERRUPCI"N QUIR⁄RGICA DE LAS V˝AS NERVIOSAS EN EL DOLOR P…LVICO CR"NICO NERVE PATHWAYS SURGICAL INTERRUPTION FOR CHRONIC PELVIC PAIN 2002
Source provenance
- europepmc
- last seen: 2026-10-16T06:09:50.462052+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T20:59:59.992071+00:00
- unpaywall
- last seen: 2026-10-16T06:24:35.758740+00:00
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