Interrupción quirúrgica de las vías nerviosas en el dolor pélvico crónico

María Cristina Alba Velásquez, Carlos Giovani Castro Cuenca
In: Revista Colombiana de Obstetricia y Ginecología · 2003 · vol. 54(1) , pp. 33–40 · doi:10.18597/rcog.630 · W1851773966
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This review evaluates the indications and utility of various surgical nerve interruption techniques for chronic pelvic pain in women, highlighting laparoscopic uterosacral ligament ablation (LUNA) as the most common method.

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Abstract

El dolor pélvico crónico es una patología muy común en la población femenina y constituye un reto para el médico que se enfrenta a este síndrome. En esta revisión pretendemos evaluar las indicaciones y utilidad de las diferentes técnicas de interrupción quirúrgica de las vías nerviosas provenientes de la pelvis femenina. Actualmente la técnica de ablación laparoscópica de los ligamentos uterosacros (LUNA) es la más utilizada de todas.
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Interrupción quirúrgica de las vías nerviosas en el dolor pélvico crónico DOI: https://doi.org/10.18597/rcog.630Palabras clave: dolor pélvico crónico, LUNA, neurectomía presacra, LUVE, simpatectomía ováricaResumen El dolor pélvico crónico es una patología muy común en la población femenina y constituye un reto para el médico que se enfrenta a este síndrome. En esta revisión pretendemos evaluar las indicaciones y utilidad de las diferentes técnicas de interrupción quirúrgica de las vías nerviosas provenientes de la pelvis femenina. Actualmente la técnica de ablación laparoscópica de los ligamentos uterosacros (LUNA) es la más utilizada de todas.Biografía del autor/a María Cristina Alba Velásquez Carlos Giovani Castro Cuenca Referencias bibliográficas Jaboulay M. Le Traitement de la Névralgie Pelvienne par la Paralysie du Sympathique Sacré. Lyon Med 1899;90:10-8. Vlahos N, Phelps JY, Wallach E. Chronic Pelvic Pain. Postgraduate Obstetrics & Gynecology 1998;18(15):1-8. Steege JF, Metzger DA, Levy BS. Dolor Pélvico Crónico. México: McGraw-Hill Interamericana; 1999. p. 166-176. Berek J, Adashi E, Hillard P. Novak's Gynecology. 12th edition. Hong Kong: Williams & Wilkins; 1988. p. 399-428. Arguello R. Dolor Pélvico Crónico, Indicador de Laparoscopia. Controversias en Ginecología y Obstetricia 2000;6(32):17-25. Buller JL, Thompson JR, Cundiff GW, Krueger Sullivan L, Schon Ybarra, Bent AE. Uterosacral Ligament: Description of Anatomic Relationships to Optimize Surgical Safety. Obstet Gynecol 2001; 97(6):873-9. Lichten EM, Bombard J. Surgical Treatment of Primary Dysmenorrhea with Laparoscopic Uterine Nerve Ablation. J Reprod Med 1987;32:37-40. Gurgan T, Urman B, Aksu T et al. Laparoscopic CO2 Laser Uterine Nerve Ablation for Treatment of Drug Resistant Primary Dysmenorrhea. Fertil Steril 1992;58:422. Chen FP, Chang SD, Chu KK. Comparison of Laparoscopic Presacral Neurectomy and Laparoscopic Uterine Nerve Ablation for Primary Dysmenorrhea. J Reprod Med 1996;41(7):463-6. Kwok A, Lam A, Ford R. Laparoscopic Presacral Neurectomy- Retrospective Series. Aust N Z J Obstet Gynaecol 2001;41(2):195-7. Wilson ML. Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dismenorrhoea. Cochrane Database Syst Rev 2000;(2):CD001896. Chen FP, Soong YK. The Efficacy and Complications of Laparoscopic Presacral Neurectomy in Pelvic Pain. Obstet Gynecol 1997;90(6):974-7. Duleba AJ; Keltz MD; Olive DL. Evaluation and Management of Chronic Pelvic Pain. J Am Assoc Gynecol Laparosc 1996; 3(2):205-27. Candiani GB, Fedele L, Vercellini P, Bianchi S, Di Nola G. Presacral Neurectomy for the Treatment of Pelvic Pain Associated with Endometriosis: A Controlled Study. Am J Obstet Gynecol 1992;167:100-3. Nezhat C, Nezhat FR. A Simplified Method of Laparoscopic Presacral Neurectomy for the Treatment of Central Pelvic Pain Due to Endometriosis. Br J Obstet Gynaecol 1992 Aug; 99:659-63. Vercellini P, Fedele L, Bianchi S, Candiani GB. Pelvic Denervation for Chronic Pain Associated with Endometriosis: Fact or fancy? Am J Obstet Gynecol 1991;165:745-9. Nezhat CH, Seidman DS, Nezhat FR, Nezhat CR. Long-Term Outcome of Laparoscopic Presacral Neurectomy for the Treatment of Central Pelvic Pain Attibuted to Endometriosis. Obstet Gynecol 1998;91(5 Pt 1):701-4. Carter JE. Laparoscopic Treatment of Chronic Pelvic Pain in 100 Adult Women. J Am Assoc Gynecol Laparosc 1995;2(3):255-62. Metzger DA, Montanino-Oliva M, Davis GD, Redwine DB. Efficacy of Presacral Neurectomy for the Relief of Midline Pelvic Pain. J Am Assoc Gynecol Laparosc 1994; 1 (4, Pt 2):S22. Azziz R, Alvarez A. Operative Laparoscopy and Hysteroscopy. 2 edition. New York: Springer; 1997. p. 173-180. Cómo citar Descargas Descargas Publicado Número Sección | Estadísticas de artículo | | |---|---| | Vistas de resúmenes | | | Vistas de PDF | | | Descargas de PDF | | | Vistas de HTML | | | Otras vistas |

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