A modified method of laparoscopic presacral neurectomy for the treatment of midline dysmenorrhea
| Autor: | Wu Chou Lin, Cheng-Yu Long, Yu Chang, Eing-Mei Tsai |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Modified method Presacral neurectomy Hospitals University Dysmenorrhea Autonomic Denervation Humans Medicine Prospective Studies Laparoscopy Prospective cohort study Pain Measurement Pain score Hypogastric Plexus medicine.diagnostic_test business.industry Pelvic pain Obstetrics and Gynecology University hospital Surgery Treatment Outcome Female medicine.symptom business |
| Zdroj: | Journal of Minimally Invasive Gynecology. 13:211-215 |
| ISSN: | 1553-4650 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|