Summary: 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.
摘要:我们对一名外科医生(AL)的医疗记录进行了回顾性审计。确定了所有因严重中线痛经而接受腹腔镜骶前神经切除术的患者。对术前症状、临床发现和手术记录的细节进行了研究。根据疼痛量表评估痛经的改善情况。12 名患者接受了腹腔镜骶前神经切除术。八名患者的症状明显改善,另有两名患者的症状轻微改善。两名患者的症状没有得到任何改善。我们认为,腹腔镜骶前神经切除术的作用应仅限于对药物治疗无效的严重中线痛经患者。它可以作为腹腔镜子宫内膜异位症切除术或粘连溶解术的辅助手术。