Article

[Effectiveness and safety of laparoscopic presacral neurectomy in treating endometriosis-associated pain].

Gynecologic Oncology Treatment Center, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi 830011, China.
Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae 10/2011; 33(5):485-8. pp.485-8
Source: PubMed

ABSTRACT To explore the effectiveness and safety of laparoscopic presacral neurectomy (LPN) in treating endometriosis-associated pain.
Totally 64 patients with endometriosis were divided into two groups using prospective non-random method. Patients in the control group received only the conventional laparoscopic resection of endometriosis lesions, while patients in the LPN group underwent LPN in addition to the resection of endometriosis lesions. The pre-operative pain scores, intra-operative staging results, surgical duration, intra-surgical blood loss, post-operative pain relief were compared between these two groups.
These two groups showed no significant differences in terms of age, body weight, pre-operative pain score, surgery staging, surgical duration, and intra-operative blood loss (all P > 0.05). All patients were followed up for 6 to 18 months (median: 12.8 months). The post-operative pain relief rate was 89.28% (25/ 28) in LPN group and 61.29% (19/31) in the control group (P = 0.030).
LPN can effectively and safely in treating endometriosis and its associated pain.

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Keywords

18 months
 
64 patients
 
associated pain
 
control group
 
conventional laparoscopic resection
 
endometriosis
 
endometriosis lesions
 
endometriosis-associated pain
 
intra-operative blood loss
 
intra-surgical blood loss
 
laparoscopic presacral neurectomy
 
patients
 
post-operative pain relief
 
post-operative pain relief rate
 
pre-operative pain score
 
pre-operative pain scores
 
prospective non-random method
 
resection
 
two groups