Presacral Neurectomy and Uterine Nerve Ablation for Pelvic Pain
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چکیده
COMMERCIAL, MEDICARE & MEDICAID COVERAGE RATIONALE ......................................... 1 DESCRIPTION OF SERVICES .............................................................................................................. 2 CLINICAL EVIDENCE ........................................................................................................................... 2 U.S. FOOD AND DRUG ADMINISTRATION (FDA) .......................................................................... 6 APPLICABLE CODES ............................................................................................................................ 7 REFERENCES ......................................................................................................................................... 7 PROTOCOL HISTORY/REVISION INFORMATION .......................................................................... 9
منابع مشابه
COCHRANE REVIEW Surgical pelvic neuroablation for chronic pelvic pain: a systematic review
Objective To determine, from the best available evidence, the effectiveness of surgical pelvic neuroablative techniques as treatment for primary and secondary dysmenorrhoea. Design Systematic review of randomized controlled trials (RCTs). Subjects Women with primary or secondary dysmenorrhoea. Interventions Surgical neuroablative techniques including uterine nerve ablation and presacral neurect...
متن کاملSurgical Treatment for Chronic Pelvic Pain
The source of chronic pelvic pain may be reproductive organ, urological, musculoskeletal-neurological, gastrointestinal, or myofascial. A psychological component almost always is a factor, whether as an antecedent event or presenting as depression as result of the pain. Surgical interventions for chronic pelvic pain include: 1) resection or vaporization of vulvar/vestibular tissue for human pap...
متن کاملPii: S0304-3959(99)00133-5
Anatomical data indicate that the rat uterine horn is innervated primarily by afferent fibers in the hypogastric nerves, suggesting that hypogastric neurectomy, but not pelvic or pudendal neurectomy, should eliminate behavioral responses to uterine horn stimulation. To test this hypothesis, detection and escape responses of rats to different volumes of uterine horn distention (via an indwelling...
متن کاملSurgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhoea.
BACKGROUND Dysmenorrhoea is the occurrence of painful menstrual cramps of uterine origin and is a very common gynaecological complaint. Medical therapy for dysmenorrhoea includes oral contraceptive pills (OCP) and nonsteroidal anti-inflammatory drugs (NSAIDS) which both act by suppressing prostaglandin levels. While these treatments are very successful there is still a 20-25% failure rate and s...
متن کاملLaparoscopic uterosacral nerve ablation and chronic pelvic pain.
Chronic pelvic pain is a complicated syndrome comprised of different types of pain, including dysmenorrhea, deep dyspareunia, and intermenstrual pain, which can make interpretation difficult. Therefore, investigation of this complex syndrome requires very careful consideration. Accumulating data from several randomized studies, we have now come to realize that LUNA can be an option in a few cir...
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تاریخ انتشار 2015