Successful management of chylous ascites after laparoscopic presacral neurectomy

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Abstract

Laparoscopic presacral neurectomy is a safe, effective, and well-established surgical procedure to relieve intractable dysmenorrhea and chronic pelvic pain. In one woman, substantial lymphatic leakage occurred due to damaged lymphatic vessels. Adequate exposure and coagulation of the presacral lymphatic zone through the laparoscope resolved the problem, and a substantial amount of chylous ascites was removed. The patient fully recovered after the intervention.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Chylous Ascites Laparoscopy Adult Chylous Ascites Chylous Ascites Denervation Denervation Dysmenorrhea Dysmenorrhea Electrocoagulation Endometriosis Endometriosis Female Humans Laparoscopy Ovarian Diseases Ovarian Diseases Pelvis Pelvis Treatment Outcome

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europepmc
last seen: 2026-08-16T09:21:09.727480+00:00
pubmed
last seen: 2026-05-13T22:10:35.327253+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine