Laparoscopic presacral neurectomy ‐ retrospective series

Adrian Kwok, A Kwok, A Lam, Alan Lam, R Ford, Robert M. Ford
The Australian & New Zealand journal of obstetrics & gynaecology · 2001 · vol. 41(2) , pp. 195–197 · doi:10.1111/j.1479-828x.2001.tb01208.x · PMID:11453271 · W1971102548
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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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Condition tags

mesh:D004412mesh:D004715mesh:D017699endometriosisdysmenorrhea

MeSH descriptors

Dysmenorrhea Laparoscopy Pelvic Pain Pelvis Adult Dysmenorrhea Endometriosis Endometriosis Female Humans Pelvic Pain Pelvis Retrospective Studies

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