A modified method of laparoscopic presacral neurectomy for the treatment of midline dysmenorrhea

Yu Chang, Eing-Mei Tsai, Eing‐Mei Tsai, Cheng-Yu Long, Wu-Chou Lin
Journal of Minimally Invasive Gynecology · 2006 · vol. 13(3) , pp. 211–215 · doi:10.1016/j.jmig.2006.01.001 · PMID:16698527 · W2101667158
Non-randomised trial OA: closed CC0 ⤵ 2 in-corpus citations
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This paper describes a modified laparoscopic technique for presacral neurectomy used to treat midline dysmenorrhea.

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Abstract

STUDY OBJECTIVE: To describe the modified surgical technique of laparoscopic presacral neurectomy. DESIGN: A prospective trial (Canadian Task Force classification II-1). SETTING: University hospital. PATIENTS: Forty-two women with severe midline dysmenorrhea. INTERVENTION: Laparoscopic modified presacral neurectomy (LMPSN). MEASUREMENTS AND MAIN RESULTS: We designed a prospective study and used a zero-to-10 pain score system to evaluate 42 patients before and after LMPSN. Before surgery, each patient had pain scores ranging from 7 to 10 and had failed medical management. Mean time required to perform LMPSN was 7.33 +/- 1.76 minutes, and most women were discharged the day after surgery. The mean postoperative pain score of 2.02 +/- 2.25 was obtained 6 months after surgery and again at 12 months. No patient had intraoperative or long-term complications. CONCLUSION: When a patient requires surgical treatment for chronic midline pelvic pain or severe dysmenorrhea, LMPSN is an alternative choice. It is relatively safe, simple to perform, and satisfactory. This modified surgical procedure appears to increasingly succeed in treatment of midline dysmenorrhea.

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Condition tags

dysmenorrhea

MeSH descriptors

Autonomic Denervation Dysmenorrhea Adult Autonomic Denervation Dysmenorrhea Dysmenorrhea Female Hospitals, University Humans Hypogastric Plexus Hypogastric Plexus Laparoscopy Pain Measurement Prospective Studies Treatment Outcome

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