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Presacral Neurectomy

Presacral neurectomy is a surgical procedure aimed at relieving chronic pelvic pain by selectively removing the nerve endings responsible for transmitting pain signals in the presacral region. This procedure is typically performed in cases where other conservative treatments have been ineffective in managing pelvic pain. In this article, we will delve into the concept of presacral neurectomy, its significance in alleviating chronic pelvic pain, and the procedure involved.

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About Presacral Neurectomy

Presacral neurectomy is a surgical intervention that targets the presacral plexus, a network of nerves located in the lower part of the spine, specifically in the presacral region. These nerves play a role in transmitting pain signals from the pelvic organs to the brain. By selectively removing or severing these nerves, presacral neurectomy aims to disrupt the transmission of pain signals, providing relief from chronic pelvic pain.

Procedure of Presacral Neurectomy

  1. Preoperative Evaluation: Before undergoing presacral neurectomy, a thorough evaluation will be conducted, including a review of medical history, physical examination, and imaging studies to confirm the diagnosis and assess the extent of the condition.

  2. Anesthesia: The procedure is typically performed under general anesthesia to ensure the patient's comfort and safety during surgery.

  3. Incision and Exposure: A small abdominal incision is made, typically in the lower abdomen, allowing access to the presacral region. The surgical team carefully exposes the presacral plexus nerves.

  4. Nerve Dissection: The surgeon identifies and selectively removes or severs the nerves within the presacral plexus. This process interrupts the transmission of pain signals originating from the pelvic organs.

  5. Closure and Recovery: After the nerve dissection is completed, the incision is meticulously closed, and appropriate wound care is provided. The patient is then monitored during the recovery period in the hospital before being discharged.

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