Sacral neurectomy or presacral neurectomy or sacral denervation surgical procedure скачать в хорошем качестве

Sacral neurectomy or presacral neurectomy or sacral denervation surgical procedure

Sacral neurectomy, also known as presacral neurectomy or sacral denervation, is a surgical procedure aimed at relieving chronic pelvic pain by severing specific nerve fibers that transmit pain signals from pelvic organs to the brain. It is most commonly used in women with severe dysmenorrhea due to endometriosis. 🧠 What Is Presacral Neurectomy? Presacral neurectomy involves the removal or severing of the superior hypogastric plexus, located in the presacral space (in front of the sacrum). This plexus carries afferent pain fibers from the uterus, cervix, and other pelvic organs. The goal is to interrupt pain transmission, especially in cases of central pelvic pain. 🩺 Indications Severe dysmenorrhea unresponsive to medical therapy Endometriosis-related pelvic pain Chronic central pelvic pain without identifiable pathology Often performed alongside laparoscopic excision of endometriosis 🔧 Surgical Technique Typically done via laparoscopy or open abdominal approach The surgeon identifies the superior hypogastric plexus near the aortic bifurcation Nerve fibers are excised or cauterized Care is taken to avoid injury to surrounding structures like the ureters and major vessels ✅ Benefits Significant reduction in central pelvic pain May improve quality of life and reduce reliance on pain medications Minimally invasive when done laparoscopically ⚠️ Risks and Complications Constipation due to disruption of autonomic fibers Urinary dysfunction Bleeding from presacral vessels #Sacral