Laparoscopic hypogastric nerve transection for dysmenorrhea and pelvic pain associated with endometriosis: case report
Year: 2016
Type: article
Study design: Case Report
Abstract: Objective: Two types of nerve transection have been used to treat endometriosis-related pain at the time of laparoscopic conservative procedure. However, laparoscopic uterosacral nerve ablation (LUNA) carries the risk of causing parasympathetic nerve damage and has been reported to provide no pain relief. Conversely, although laparoscopic presacral neurectomy(LPSN) has been proven to achieve additional pain relief, it has a high level of technical difficulty and is associated with issues such as hemorrhage, constipation, or urinary urgency. Theoretically, the ablation of the left and right hypogastric nerves just before the inferior hypogastric plexus, where the sympathetic and parasympathetic nerves branching from the superior hypogastric plexus meet, makes it possible to selectively and safely resect only the sympathetic nerves. However, this surgical technique has not been reported. In this paper, we report a case of laparoscopic hypogastric nerve transection (LHNT).
DOI: 10.5180/jsgoe.32.230
Authors: Satoshi Tanimura, Takashi Hosono, Hiroshi Funamoto, Satoshi Takeda, Yasushi Shitano, Yuka Ametani
Institution: Toyama Prefectural Central Hospital
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2575234847