A modified method of laparoscopic presacral neurectomy for the treatment of midline dysmenorrhea.
OBJECTIVE
To describe the modified surgical technique of laparoscopic presacral neurectomy.


METHODS
A prospective trial (Canadian Task Force classification II-1).


METHODS
University hospital.


METHODS
Forty-two women with severe midline dysmenorrhea.


METHODS
Laparoscopic modified presacral neurectomy (LMPSN).


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.


CONCLUSIONS
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.
Chang
Yu
Y
Department of Obstetrics and Gynecology, Kaohsiung Municipal HsiaoKang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Tsai
Eing-Mei
EM
Long
Cheng-Yu
CY
Lin
Wu-Chou
WC
D000328:Adult; D017763:Autonomic Denervation / Q000379:methods*; D004412:Dysmenorrhea / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007001:Hypogastric Plexus / Q000601:surgery; D010535:Laparoscopy; D010147:Pain Measurement; D011446:Prospective Studies; D016896:Treatment Outcome