Successful management of chylous ascites after laparoscopic presacral neurectomy.
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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Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-shan, Tao-Yuan Hsien, Taiwan 10591, Republic of China.
Chen
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FP
Chu
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KK
Soong
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YK
D000328:Adult; D002915:Chylous Ascites / Q000209:etiology / Q000601:surgery*; D003714:Denervation / Q000379:methods; D004412:Dysmenorrhea / Q000601:surgery; D004564:Electrocoagulation; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000601:surgery; D010388:Pelvis / Q000294:innervation; D016896:Treatment Outcome