关于腹腔镜下骶前神经切断术的常见问题

Frequently Asked Questions About Laparoscopic Presacral Neurectomy

                               
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What is Laparoscopic Presacral Neurectomy?

This procedure known as Laparoscopic Presacral Neurectomy is done to manage central pelvic pain which is commonly experienced by women when experiencing severe dysmenorrheal attacks. This is performed by removing the pathway of pain from one’s uterus to one’s brain. These groups of nerves (pain pathways) are known as Presacral Plexus and this is the reason why such surgical procedure was termed after it. This is also performed for individuals with endometriosis and adenomyosis.

How is the surgical procedure carried out?

Fortunately, women who underwent Laparoscopic Presacral Neurectomy procedure can still wear their bikinis when going out for a swim. Aside from the fact that laparoscopic procedure is minimally invasive, incisions will be made as undersized bikini line and umbilical incisions. Once the nerve fibers will be removed, painful sensations that originate from the uterus will never be recognized by the brain. Hence, the person will no longer feel any of these discomforts.

What are the possible complications for this procedure?

As long as the surgical procedure was done correctly, there are only minimal complications that the person will experience after Laparoscopic Presacral Neurectomy. Among these are urinary symptoms, constipation and painless labor.

Will Laparoscopic Presacral Neurectomy guarantee the relief of pain?

One has to know that Laparoscopic Presacral Neurectomy procedure does not guarantee to remove all types of pelvic pain. Lateral pelvic discomforts originating from one’s pelvic side wall linings and ovaries will not be relieved. Hence complete diagnostic procedures must be done before performing this surgical procedure.

What is its indication of Laparoscopic Presacral Neurectomy?

Obviously, not all types of pelvic pains require Laparoscopic Presacral Neurectomy. However, such procedure is highly suggested to women who have chronic central pelvic pain. This can be non-menstrual or menstrual in nature as long as it has the duration of not less than six months. Moreover, it is interesting to note that less that 20% of menstruating female populations were reported to have this disorder.

What types of dysmenorrhea needs to undergo this procedure?

Dysmenorrhea varies in intensity of pain and discomforts. This can accompany intermittent and sharp spasm as well as fatigue, headache, vomiting, and nausea. This is usually felt as part of one’s PMS and may last on the first few days of one’s menstrual period. The adolescent groups are the ones who are mostly affected. When this condition hinders one from functioning normally, then the doctor may suggest a Laparoscopic Presacral Neurectomy to be done especially when one do not respond to other types of medical treatment. Around twenty to ninety percent of adolescent women experience this condition in varying degrees.

Aside from age, what are other risk factors that may increase one’s chances of experiencing dysmenorrhea?

Among the risk factors include heavy flow on one’s menstrual period, depression, nulliparity and smoking.

What must be done to have a successful Laparoscopic Presacral Neurectomy procedure?

If you are planning to go through Laparoscopic Presacral Neurectomy procedure, you need to know that only 60% to 80% of patients who went through such operation were relieved from their pelvic pains. Hence, medical practitioners must make sure that they are rendering the right pain management to their patients. One has to follow the preoperative and postoperative requirement to make such procedure successful as well.