Surgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhoea

Surgical Outcomes in Patients With Endometriosis: A Systematic Review

“…49 In two systematic reviews of RCTs, uterine nerve ablation did not provide greater pain relief than excision of endometriotic lesions. 50,51 In contrast, pre-sacral neurectomy with conservative surgery provides superior pain relief to conservative surgery alone at 12 months, 38,41 although the technique should only be performed by highly skilled surgeons owing to the high risk of AEs. 4,5 In this study, uterine nerve ablation and pre-sacral neurectomy were combined into a single treatment group because of the limited number of available studies and low patient numbers.…”

Surgical Outcomes in Patients With Endometriosis: A Systematic Review

“…49 In two systematic reviews of RCTs, uterine nerve ablation did not provide greater pain relief than excision of endometriotic lesions. 50,51 In contrast, pre-sacral neurectomy with conservative surgery provides superior pain relief to conservative surgery alone at 12 months, 38,41 although the technique should only be performed by highly skilled surgeons owing to the high risk of AEs. 4,5 In this study, uterine nerve ablation and pre-sacral neurectomy were combined into a single treatment group because of the limited number of available studies and low patient numbers.…”

Current Role of Minimally Invasive Surgical Techniques in the Diagnosis and Management of Endometriosis-A Clinical Review

“…There was insufficient evidence to recommend the use of LUNA for the treatment of dysmenorrhoea regardless of the cause and therefore laparoscopic conservative surgery for endometriosis associated pain should not be combined with LUNA. Laparoscopic PSN is of benefit in the treatment of pain related to endometriosis but for midline pain only and requires very precise surgical techniques due to the potentially hazardous surgery [19].…”

Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications

“…Redwine removed all pelvic peritoneum, yet symptoms and some endometriosis returned (Redwine, 1997;Redwine and Wright, 2001). Endometriosis-associated dysmenorrhea treated by either laparoscopic uterine nerve ablation or presacral neurectomy had mixed results (Gambone et al, 2002;Proctor et al, 2005;Daniels et al, 2009). Similarly, locating and excising painful peritoneal areas during laparoscopy by conscious pain mapping had limited success (Howard et al, 2000;Steege, 2001).…”

Surgical Outcomes in Patients With Endometriosis: A Systematic Review

“…49 In two systematic reviews of RCTs, uterine nerve ablation did not provide greater pain relief than excision of endometriotic lesions. 50,51 In contrast, pre-sacral neurectomy with conservative surgery provides superior pain relief to conservative surgery alone at 12 months, 38,41 although the technique should only be performed by highly skilled surgeons owing to the high risk of AEs. 4,5 In this study, uterine nerve ablation and pre-sacral neurectomy were combined into a single treatment group because of the limited number of available studies and low patient numbers.…”

Current Role of Minimally Invasive Surgical Techniques in the Diagnosis and Management of Endometriosis-A Clinical Review

“…There was insufficient evidence to recommend the use of LUNA for the treatment of dysmenorrhoea regardless of the cause and therefore laparoscopic conservative surgery for endometriosis associated pain should not be combined with LUNA. Laparoscopic PSN is of benefit in the treatment of pain related to endometriosis but for midline pain only and requires very precise surgical techniques due to the potentially hazardous surgery [19].…”

Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications

“…Redwine removed all pelvic peritoneum, yet symptoms and some endometriosis returned (Redwine, 1997;Redwine and Wright, 2001). Endometriosis-associated dysmenorrhea treated by either laparoscopic uterine nerve ablation or presacral neurectomy had mixed results (Gambone et al, 2002;Proctor et al, 2005;Daniels et al, 2009). Similarly, locating and excising painful peritoneal areas during laparoscopy by conscious pain mapping had limited success (Howard et al, 2000;Steege, 2001).…”

Surgical Outcomes in Patients With Endometriosis: A Systematic Review

“…49 In two systematic reviews of RCTs, uterine nerve ablation did not provide greater pain relief than excision of endometriotic lesions. 50,51 In contrast, pre-sacral neurectomy with conservative surgery provides superior pain relief to conservative surgery alone at 12 months, 38,41 although the technique should only be performed by highly skilled surgeons owing to the high risk of AEs. 4,5 In this study, uterine nerve ablation and pre-sacral neurectomy were combined into a single treatment group because of the limited number of available studies and low patient numbers.…”

Current Role of Minimally Invasive Surgical Techniques in the Diagnosis and Management of Endometriosis-A Clinical Review

“…There was insufficient evidence to recommend the use of LUNA for the treatment of dysmenorrhoea regardless of the cause and therefore laparoscopic conservative surgery for endometriosis associated pain should not be combined with LUNA. Laparoscopic PSN is of benefit in the treatment of pain related to endometriosis but for midline pain only and requires very precise surgical techniques due to the potentially hazardous surgery [19].…”

Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications

“…Redwine removed all pelvic peritoneum, yet symptoms and some endometriosis returned (Redwine, 1997;Redwine and Wright, 2001). Endometriosis-associated dysmenorrhea treated by either laparoscopic uterine nerve ablation or presacral neurectomy had mixed results (Gambone et al, 2002;Proctor et al, 2005;Daniels et al, 2009). Similarly, locating and excising painful peritoneal areas during laparoscopy by conscious pain mapping had limited success (Howard et al, 2000;Steege, 2001).…”