Successful management of chylous ascites after laparoscopic presacral neurectomy

T S Lo, Lo TS, Chen FP, F. P. Chen, K K Chu, Chu KK, Soong YK, Y K Soong
The Journal of the American Association of Gynecologic Laparoscopists · 1998 · vol. 5(4) , pp. 431–3 · doi:10.1016/s1074-3804(98)80061-3 · PMID:9782151
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Laparoscopic presacral neurectomy for chronic pelvic pain can cause chylous ascites from lymphatic damage, which was successfully managed through adequate exposure and coagulation of the presacral lymphatic zone.

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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 Adult Chylous Ascites Chylous Ascites Chylous Ascites Denervation Denervation Denervation Dysmenorrhea Dysmenorrhea Dysmenorrhea Electrocoagulation Electrocoagulation Endometriosis Endometriosis Endometriosis Female Female

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Courtesy of the U.S. National Library of Medicine