title: Laparoscopic presacral neurectomy - retrospective series.
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.
authors.affiliation: The Women's Institute - Endosurgery, Mater Misericordiae Hospital, North Shore Private Hospital, St Leonards, Sydney, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Kwok
authors.forename: A
authors.initials: A
authors.lastname: Lam
authors.forename: R
authors.initials: R
authors.lastname: Ford
mesh_terms: D000328:Adult; D004412:Dysmenorrhea / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D017699:Pelvic Pain / Q000601:surgery*; D010388:Pelvis / Q000294:innervation*; D012189:Retrospective Studies