Biggerstaff ED, Foster S
The Advanced Surgery Center at Candler Hospital, 5354 Reynolds Street, Suite 518, Savannah, GA 31405.
J Am Assoc Gynecol Laparosc. 1994 Aug;1(4, Part 2):S4. doi: 10.1016/s1074-3804(05)80878-3.
The treatment of midline dysmenorrhea and pelvic pain with laparoscopic presacral neurectomy (LPSN) has been reported previously. In this prospective study, 27 women experienced severe midline dysmenorrhea/pain, and 12 of these women also had significant lateral pain. Other procedures including lysis of adhesions, excision/vaporization of endometriosis, and appendectomy were completed prior to LPSN. Twenty-two women reported no midline pain in follow-up 5 to 35 months postoperatively, 4 noted significant reduction of midline pain, and 1 had persistence of severe pain. Of the 12 women with lateral and midline pain, 3 had persistence of pain. Laparoscopic repair of a left common iliac vein laceration was accomplished with hemoclips. This report supports the view that LPSN is a safe and effective procedure for treating midline dysmenorrhea/pelvic pain when performed by experienced laparoscopic surgeons. Selected complications may be managed laparoscopically.
先前已有关于腹腔镜骶前神经切除术（LPSN）治疗中线痛经和盆腔疼痛的报道。在这项前瞻性研究中，27名女性经历了严重的中线痛经/疼痛，其中12名女性还伴有明显的侧方疼痛。在进行LPSN之前，还完成了包括粘连松解、子宫内膜异位症切除/汽化以及阑尾切除术等其他手术。22名女性在术后5至35个月的随访中报告无中线疼痛，4名女性指出中线疼痛明显减轻，1名女性仍持续存在严重疼痛。在12名伴有侧方和中线疼痛的女性中，3名女性疼痛持续存在。通过血管夹完成了左侧髂总静脉撕裂伤的腹腔镜修复。本报告支持这样的观点，即当由经验丰富的腹腔镜外科医生进行操作时，LPSN是治疗中线痛经/盆腔疼痛的一种安全有效的手术。某些并发症可通过腹腔镜进行处理。
