On clinical effects of uterosacral ligament amputation in combination with lesion electrofulguration under laparoscope for endometriosis-related dysmenorrhea / 中国微创外科杂志

ABSTRACT

Objective To evaluate the efficacy of uterosacral ligament amputation in combination with lesion electrofulguration under laparoscope in the treatment of endometriosis-related dysmenorrhea. Methods A total of 86 patients with endometriosis-related dysmenorrhea were treated by uterosacral ligament amputation combined with electrofulguration of lesions under laparoscope from March 2000 to August 2004 in this hospital. Among the 86 patients, enucleation of ovarian endometriotic cysts and electrofulguration of pelvic endometriotic lesions were also simultaneously conducted in 37 patients, and electrofulguration of all visible pelvic endometriotic lesions was also performed in the rest of 49 patients. The operation was accomplished with the aid of the placement of an infrared ureteral detector in 3 patients because of the thickening of the uterosacral ligament and local adhesion. Results The 86 patients were followed for 6~48 months (median, 23 months). Dysmenorrheal completely disappeared in 36 patients, partially subsided in 29, and remained unchanged in 21, the effective rate being 75.6% (65/86). Conclusions Uterosacral ligament amputation combined with electrofulguration of lesions under laparoscope is effective for the treatment of endometriosis-related dysmenorrhea.