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2023, Number 1-4

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Rev Mex Cir Endoscop 2023; 24 (1-4)

Laparoscopic and pharmacologic management of pelvic limb pain in patients with deep endometriosis: results of a series of cases

Vázquez-Camacho A, Rodríguez-Reyes G

Language: Spanish
References: 16
Page: 16-20
PDF size: 142.65 Kb.


ABSTRACT

Introduction: pelvic limb pain secondary to endometriosis is difficult to control and often requires combined and long-term treatments. The aim of this study was to evaluate the efficacy of medical and surgical management in a number of patients with this condition. Material and methods: descriptive, retrospective and observational study of patients who received laparoscopic resection of endometriosic nodules and subsequently received neuromodulator therapy. Demographic variables of the patients were recorded and pain with visual analogous scale (VAS) was measured before surgery and at three, six and 12 months of surgery. Treatment with a decrease of two or more points in VAS was considered successful. Results: 10 patients were included in the study, with average age of 36.8 ± 3.85, body mass index (BMI) of 24.393 ± 2.17, mean age of the menarche of 11.8 ± 0.789 years and time of evolution of pelvic limb pain in years of 15.3 ± 2.54, with a minimum of 12 years and a maximum of 20 years. The average pain before surgery was 7.5, with a range of 6 to 8 points, at three months the average was 3.5 with a range of 2 to 4 points, at six months an average of 3.4 with a range of 2 to 4 points and finally at 12 months the pain averaged 2.7 points with a range also of 2 to 4. Conclusion: in this series, a significant decrease in pelvic limb pain was achieved in patients receiving combined laparoscopic resection therapy plus postoperatory neuromodulators.


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