Introduction: Chronic pelvic pain is a very common disease in women. As a final and life-long solution laparoscopic sacrouterine nerve ablation (LUNA) is generally used in the daily practice.
Objective: To investigate the effectiveness of LUNA by evaluating their results.
Patients And Methods: Authors performed sacrouterine nerve ablation on 20 patients suffering from chronic pelvic pain. Using visual analogue scale, and with the help of computer database and mailed personal questionnaires efficacy of the method was evaluated.
Results: 16 out of 20 cases could be estimated. In 10 patients the level of the pain decreased from 10 to 0, in 2 patients from 8 to 0, while in one from 5 to 0. In 2 patients a decrease from 10 to 4 and 5 was detected in the pain intensity. The level of pain remained unchanged in five patients. There were no side effects during procedures.
Conclusion: Despite of the low number of the patients authors emphasize the very good effectiveness of laparoscopic sacrouterine nerve ablation in treating of chronic pelvic pain if the procedure is well indicated.
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Acta Obstet Gynecol Scand
September 2024
Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria.
Introduction: Presence of deep infiltrating bowel endometriosis (DE) is associated with occurrence of dyschezia and gastrointestinal symptoms. The degree of the disease, the lesion length, and the location, that is, lesion-to-anal-verge distance (LAVD) of DE, as well as the severity of the symptoms appear to be correlated. Nevertheless, it is not yet known to what extent the size and LAVD of bowel DE influence the severity of gastrointestinal symptoms.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
October 2024
Fondazione IRCCS National Cancer Institute of Milan (Ditto, Ferla, Martinelli, Bogani, Maggiore, and Raspagliesi), Milan, Italy.
Objective: During radical pelvic surgeries fibers of the autonomic pelvic nervous network can be accidentally damaged leading to significant visceral sequelae, which dramatically affect women's quality of life because of urinary, anorectal, and sexual postoperative dysfunctions. Direct visualization is one way to preserve hypogastric nerves (HNs), pelvic splanchnic nerves (PSNs), and the bladder branches from the inferior hypogastric plexus (IHP). However, the literature lacks critical photos and/or illustrations that are necessary to understand the precise anatomy needed to preserve the pelvic autonomic fibers.
View Article and Find Full Text PDFF S Rep
June 2022
Department of Gynecological Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Objective: To present a case of persistent postoperative elevation of the right hemidiaphragm after bipolar electrocoagulation of diaphragmatic endometriosis, highly likely because of collateral thermal damage to key branches of the phrenic nerve, and review the literature on diaphragmatic endometriosis, focusing on operative treatment.
Design: Case report and mini review.
Setting: Single university-based interdisciplinary endometriosis center.
J Minim Invasive Gynecol
September 2022
Division of Obstetrics and Gynecology, Department of Women's and Children's Health (Drs. Wallin, Falconer, and Rådestad), Karolinska University Hospital, Stockholm, Sweden; Department of Breast, Endocrine Tumours and Sarcoma (Dr. Rådestad), Karolinska University Hospital, Stockholm, Sweden.
Study Objective: To examine whether objective bladder function after robot-assisted radical hysterectomy (RRH) for early-stage cervical cancer is correlated with subjective patient-reported outcomes and quality of life during the first year after RRH.
Design: Prospective observational study.
Setting: Karolinska University Hospital, Sweden.
Surg J (N Y)
December 2021
Department of Obstetrics and Gynecology, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
After Prof. S. Okabayashi introduced Okabayashi Operation in 1921, several surgeons introduced numerous improvements in Japan.
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