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. 2018 Sep-Oct;34(5):1200-1203.
doi: 10.12669/pjms.345.14830.

Treatment of pelvic cavity pain caused by endometriosis with excision of invaded sacrospinous ligament

Jinqiong Li  1 , Xia Yao  2 , Jing Zhang  3
Affiliations

Treatment of pelvic cavity pain caused by endometriosis with excision of invaded sacrospinous ligament

Jinqiong Li et al. Pak J Med Sci. 2018 Sep-Oct.

Abstract

Objective: To evaluate the clinical therapeutic effects of excision of invaded sacrospinous ligament on pelvic cavity pain caused by endometriosis.

Methods: Eighty endometriotic patients treated in our hospital from January 2013 to December 2014 were chosen, and divided into a control group and an observation group. Regular operation (i.e. excision of endometriotic nidus and separation of pelvic cavity adhesion) was performed for the control group, while regular operation and sacrospinous ligament excision were conducted for the observation group. Intraoperative and postoperative conditions as well as postoperative pain remission of both groups were compared.

Results: For the amount of bleeding during operation, the control group was (120±5.2) ml, while the observation group was (160±4.0) ml. For the duration of operation, the control group was (65±3.4) minutes, while the observation group was (92±2.6) min (p<0.05), with a significant difference. For the independent urination time after operation, the control group was (32±8.8) hour, while the observation group was (33±6.4) hour. For the evacuation time after operation, the control group was (38±2.6) hour, while the observation group was (39±3.0) hour (p>0.05), with a significant difference. The postoperative VAS scores of the two groups were significantly lower than those before operation, and the VAS score of the observation group was significantly lower than that of the control group, p<0.05.

Conclusions: Sacrospinous ligament excision relieved pain caused by endometriosis, so it may be applicable to the endometriosis patients with sacrospinous ligament infiltration or severe pain.

Keywords: Endometriosis; Pain; Sacrospinous ligament excision.

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Conflict of interest statement

Conflicts of Interest: None.

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References

    1. Vercellini P, Vigano P, Somigliana E, Fedele L. Endometriosis:pathogenesis and treatment. Nat Rev Endocrinol. 2014;10(5):261–275. doi:10.1038/nrendo.2013.255. - PubMed
    1. Ma Y, Wang ZL, Sun ZX, Men B, Shen BQ. Common TCM syndrome pattern of chronic pelvic pain syndrome relates to plasma substance p and beta endorphin. Natl J Androl. 2014;20(4):363–366. - PubMed
    1. Ceccaroni M, Clarizia R, Alboni C, Ruffo G, Bruni F, Roviglione G, et al. Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves:anatomical considerations and surgical technique. Surg Radiol Anat. 2010;32(6):601–604. doi:10.1007/s00276-010-0624-6. - PubMed
    1. Hou W, Que GY. Analysis of the related factors on early childhood carie of Kaifu district in Changsha. Chin J Conserv Dent. 2009;19(3):157–160.
    1. Qi W, Zhang M, Huang X. Curative effect analysis of laparoscopic conservative surgery combined with drug in treatment of moderate/severe endometriosis and the therapeutic evaluation of dienoges for recurrent endometriosis-associated pelvic pain. Chin J Reprod Contracept. 2017;(5)

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