The extremely rare case of pelvic lipomatosis in a woman is reported (4 cases in the literature). The patient suffered from symptoms of irritable bladder. Treatment included hysterectomy and extension of the bladder resulting in a significant reduction of frequency. Prognostic criteria of the progressive benign disease and therapeutic modalities are discussed.
SummaryIn his experience with 531 surgical procedures for the relief of trigeminal neuralgia between 1955 to 1970, the author developed a strong preference for the pereutaneous electro-coagulation of the gasserian ganglion. Although the method was repeatedly modified in the early years, a standardized technique of controlled, selective and fractional coagulation in the semiawake state of neurolept-anaesthesia was used since 1963 in 183 of his 311 patients, treated in this manner. The advantages of the method, particularly in comparison to open intracranial root sections, are: Minimal operative risk, control of operative effect during the operation, small sensibility deficit, low rate of complications, short hospitalization, short convalescence and satisfactory final result in 93% of the patients (after a second or third coagulation, if needed) in a three-year follow-up period.
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