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Chapter 17 - Video Laparoscopy

Published online by Cambridge University Press:  06 November 2025

Edited by
Camran R. Nezhat ,
Farr R. Nezhat ,
Ceana Nezhat ,
Nisha Lakhi  and
Azadeh Nezhat
Camran R. Nezhat
Affiliation:
Stanford University School of Medicine, California
Farr R. Nezhat
Affiliation:
Nezhat Surgery for Gynecology/Oncology, New York
Ceana Nezhat
Affiliation:
Nezhat Medical Center, Atlanta
Nisha Lakhi
Affiliation:
Richmond University Medical Center, New York
Azadeh Nezhat
Affiliation:
Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
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Summary

Approximately 40–90% of females have painful menses or dysmenorrhea.[1] Dysmenorrhea can be categorized as primary or secondary depending on the onset of symptoms. With onset just after menarche, primary dysmenorrhea is defined as menstrual pain without pelvic pathology. Secondary dysmenorrhea is characterized by an underlying pathology and can present any time after menarche. Dysmenorrhea often presents with both somatic complaints and mood/behavioral changes.

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Chapter
Information
Nezhat's Textbook of Minimally Invasive Surgery
Including Hysteroscopy, Vaginoscopy and Robotic-Assisted Procedures
 , pp. 518 - 528
Publisher: Cambridge University Press
Print publication year: 2025

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References

References

Bettendorf, B, Shay, S, Tu, F. Dysmenorrhea: contemporary perspectives. Obstet Gynecol Surv 2008 Sep;63(9):597–603.CrossRefGoogle ScholarPubMed
Cheong, Y, William Stones, R. Chronic pelvic pain: aetiology and therapy. Best Pract Res Clin Obstet Gynaecol 2006;20(5):695–711.CrossRefGoogle ScholarPubMed
Biggerstaff, ED 3rd, Foster, SN. Laparoscopic presacral neurectomy for treatment of midline pelvic pain. J Am Assoc Gynecol Laparosc 1994;2:31-35.CrossRefGoogle ScholarPubMed
Rock, JA, Jones, HW III. Te Linde’s Operative Gynecology, 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.Google Scholar
Latthe, PM, Proctor, ML, Farquhar, CM, Johnson, N, Khan, KS. Surgical interruption of pelvic nerve pathways in dysmenorrhea: a systematic review of effectiveness. Acta Obstet Gynecol Scand Rev 2007;86(1):4–15.CrossRefGoogle ScholarPubMed
Yuan, CC, Chin, J. Laparoscopic uterosacral nerve ablation and chronic pelvic pain. Med Assoc 2006 Mar;69(3):101–103.Google ScholarPubMed
Abou-Setta, AM, Houston, B, Al-Inany, HG, Farquhar, C. Levonorgestrel-releasing intrauterine device (LNG-IUD) for symptomatic endometriosis following surgery. Cochrane Database Syst Rev 2013 Jan 31;(1):CD005072.Google Scholar
Zullo, F, Palomba, S, Zupi, E, et al. Long-term effectiveness of presacral neurectomy for the treatment of severe dysmenorrhea due to endometriosis. Am Assoc Gynecol Laparosc 2004;11:23–28.CrossRefGoogle ScholarPubMed
Proctor, ML, Latthe, PM, Farquhar, CM, Khan, KS, Johnson, NP. Surgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhea. Cochrane Database Syst Rev 2005 Oct 19;(4):CD001896. Review.Google Scholar
Lee, TT, Yang, LC. Pelvic denervation procedures: a current reappraisal. Int J Gynaecol Obstet 2008 Jun;101(3):304–308.CrossRefGoogle ScholarPubMed
Tjaden, B, Schlaff, WD, Kimball, A, Rock, JA. The efficacy of presacral neurectomy for the relief of midline dysmenorrhea. Obstet Gynecol 1990 Jul;769(1):89–91.Google Scholar
Chen, FP, Chang, SD, Chu, KK, Soong, YK. Comparison of laparoscopic presacral neurectomy and laparoscopic uterine nerve ablation for primary dysmenorrhea. Reprod Med 1996 Jul;41(7):463–466.Google ScholarPubMed
Nezhat, CH, Seidman, DS, Nezhat, FR, Nezhat, CR. Long-term outcome of laparoscopic presacral neurectomy for the treatment of central pelvic pain attributed to endometriosis. Obstet Gynecol 1998;91:701–704.Google ScholarPubMed
Nezhat, C, Nezhat, F. A simplified method of laparoscopic presacral neurectomy for the treatment of central pelvic pain due to endometriosis. Br J Obstet Gynaecol 1992;99:659–663.CrossRefGoogle ScholarPubMed
Perez, JJ. Laparoscopic presacral neurectomy: results of the first 25 cases. J Reprod Med 1990;35:625–630.Google ScholarPubMed
Daniell, JF, Lalonde, CJ. Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea. Balliere Clin Obstet Gynaecol 1995;9(4):795–807.CrossRefGoogle ScholarPubMed
Papasakelariou, C. Long-term results of laparoscopic uterosacral nerve ablation. Gynaecol Endosc 1996;5:177–179.Google Scholar
Nezhat, C, Morozov, V. Robot-assisted laparoscopic presacral neurectomy: feasibility, techniques, and operative outcomes. J Minim Invasive Gynecol 2010 Jul-Aug;17(4):508–512.CrossRefGoogle ScholarPubMed
Visco, AG, Advincula, AP. Robotic gynecologic surgery. Obstet Gynecol 2008 Nov;112:1369–1384.CrossRefGoogle ScholarPubMed
Stepanian, AA, Winer, WK, Isler, CM, Lyons, TL. Comparative analysis of 5-mm trocars: Dilating tip versus non-shielded bladed. J Minim Invasive Gynecol 2007 Mar-Apr;14(2):176–183.CrossRefGoogle ScholarPubMed
Tonouchi, H, Ohmori, Y, Kobayashi, M, Kusunoki, M. Trocar site hernia. Arch Surg 2004 Nov;139:1248–1256.CrossRefGoogle ScholarPubMed
Zullo, F, Palomba, S, Zupi, E, et al. Effectiveness of presacral neurectomy in women with severe dysmenorrheal caused by endometriosis who were treated with laparoscopic conservative surgery: a 1-year prospective randomized double-blind controlled trial. Am J Obstet Gynecol 2003;189:5–10.CrossRefGoogle Scholar
Chen, FP, Soong, YK. The efficacy and complications of laparoscopic presacral neurectomy in pelvic pain. Obstet Gynecol 1997;90:974–977.Google ScholarPubMed

References

Royal College of Obstetricians and Gynaecologists. Guidelines and Audit Committee. The Initial Management of Chronic Pelvic Pain. London: RCOG; May 2012; Guideline 41.Google Scholar
National Institute for Health and Care Excellence. Laparoscopic Uterine Nerve Ablation (LUNA) for Chronic Pelvic Pain. NICE; Oct 2007.Google Scholar
Latthe, P, Latthe, M, Say, L, et al. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health 2006;6(6):177.CrossRefGoogle ScholarPubMed
Latthe, P, Mignini, L, Gray, R, et al. Factors predisposing women to chronic pelvic pain: systematic review. BMJ 2006;332:749–755.CrossRefGoogle ScholarPubMed
Olive, DL, Pritts, EA. Treatment of endometriosis. N Engl J Med 2001;345:266–275.CrossRefGoogle ScholarPubMed
Porpora, MG, Gomel, V. The role of laparoscopy in the management of pelvic pain in women of reproductive age. Fertil Steril 1997;68:765–779.CrossRefGoogle ScholarPubMed
Howard, FM. The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Best Pract Res Clin Obstet Gynaecol 2000;14:467–494.CrossRefGoogle ScholarPubMed
Sundell, G, Milsom, I, Andersch, B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol 1990;97:588–594.CrossRefGoogle ScholarPubMed
Nezhat, C, Crowley, SR, Garrison, CP. Surgical treatment of endometriosis via laser laparoscopy. Fertil Steril 1986;45(6):778–783.CrossRefGoogle ScholarPubMed
Carter, JE. Biography of Camran Nezhat, MD, FACOG, FACS. JSLS 2006;10(2):275–280.Google Scholar
Hurd, WW. Criteria that indicate endometriosis is the cause of chronic pelvic pain. Obstet Gynecol 1998;92:1029–1032.Google Scholar
Doyle, JB. Paracervical uterine denervation by transection of the cervical plexus for the relief of dysmenorrhea. Am J Obstet Gynecol 1955;70:1–16.CrossRefGoogle ScholarPubMed
Doyle, JB, Des Rosiers, JJ. Paracervical uterine denervation for the relief of pelvic pain. Clinical Obstet Gynecol 1963;6:742–753.CrossRefGoogle Scholar
Daniels, J, Gray, R, Khan, K, et al. Laparoscopic uterine nerve ablation: a survey of gynaecological practice in the UK. Gynaecol Endosc 2000;9:157–159.CrossRefGoogle Scholar
Latthe, P, Powell, R, Daniels, J, et al. Variation in practice of laparoscopic uterosacral nerve ablation: a European survey. J Obstet Gynaecol 2004;24:547–551.CrossRefGoogle ScholarPubMed
Lichten, EM, Bombard, J. Surgical treatment of primary dysmenorrhea with laparoscopic uterine nerve ablation. J Reprod Med 1987;32:37–41.Google ScholarPubMed
Khan, KS, Khan, SF, Nwosu, CR, et al. Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview. Gynaecol Endosc 1999;8:257–265.CrossRefGoogle Scholar
Stones, RW, Mountfield, J. Interventions for treating chronic pelvic pain in women. Cochrane Database Syst Rev 2000;4:CD000387.Google Scholar
Sutton, C, Pooley, AS, Jones, KD, et al. A prospective, randomized, double-blind controlled trial of laparoscopic uterine nerve ablation in the treatment of pelvic pain associated with endometriosis. Gynaecol Endosc 2001;10:217–222.CrossRefGoogle Scholar
Vercellini, P, Aimi, G, Busacca, M, et al. Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: results of a randomized, controlled trial. Fertil Steril 2003;80:310–319.CrossRefGoogle ScholarPubMed
Johnson, NP, Farquhar, CM, Crossley, S, et al. A double-blind randomised controlled trial of laparoscopic uterine nerve ablation (LUNA) for women with chronic pelvic pain. Br J Obstet Gynaecol 2004;111:950–959.CrossRefGoogle ScholarPubMed
Proctor, ML, Latthe, PM, Farquahr, CM, et al. Surgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2005;4:CD001896.Google Scholar
Daniels, J, Gray, R, Hills, RK, et al. Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain: a randomized controlled trial. JAMA 2009;302:955–961.CrossRefGoogle ScholarPubMed
El-Din Shawki, H. The efficacy of laparoscopic uterosacral nerve ablation (LUNA) in the treatment of unexplained chronic pelvic pain: a randomized controlled trial. Gynecol Surg 2011;8:31–39.CrossRefGoogle ScholarPubMed
Fujii, M, Sagae, S, Sato, T, et al. Investigation of the localization of nerves in the uterosacral ligament: determination of the optimal site for uterosacral nerve ablation. Gynecol Obstet Invest 2002;54(suppl 1):11–17.CrossRefGoogle ScholarPubMed
Garry, R, Clayton, R, Hawe, J. The effect of endometriosis and its radical laparoscopic excision on quality of life indicators. Br J Obstet Gynaecol 2000;107:44–54.CrossRefGoogle ScholarPubMed
Latthe, PM, Proctor, ML, Farquhar, CM, et al. Surgical interruption of pelvic nerve pathways in dysmenorrhea: a systematic review of effectiveness. Acta Obstet Gynecol Scand 2007;86(1):4–15.CrossRefGoogle ScholarPubMed
Davis, GD. Uterine prolapse after laparoscopic uterosacral transaction in nulliparous airborne trainees: a report of three cases. J Reprod Med 1996;41:279–282.Google Scholar
Good, MC, Copas, PR Jr, Doody, MC. Uterine prolapse after laparoscopic uterosacral transection. A case report. J Reprod Med 1992;37:995–996.Google ScholarPubMed
Perez, JJ. Laparoscopic presacral neurectomy. Results of the first 25 cases. J Reprod Med 1990;35:625–630.Google ScholarPubMed
Carter, JE. Surgical treatment for chronic pelvic pain. JSLS 1998;2:129–139;Google ScholarPubMed
Donnez, J, Nisolle, M. Carbon-dioxide laser laparoscopy in pelvic pain and infertility. Baillieres Clin Obstet Gynecol 1989;3:525–544.CrossRefGoogle Scholar
Corson, SL, Unger, M, Kwa, D, et al. Laparoscopic laser treatment of endometriosis with the Nd:YAG sapphire probe. Am J Obstet Gynecol 1989;160:718–723.CrossRefGoogle Scholar
Vercellini, P, Aimi, G, Busacca, M. Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: results of a randomized controlled trial. Fertil Steril 1997;68:3 (abstract).CrossRefGoogle Scholar
Daniels, JP, Middleton, L, Xiong, T, et al. Individual patient data meta-analysis of randomized evidence to assess the effectiveness of laparoscopic uterosacral nerve ablation in chronic pelvic pain. Hum Reprod Update 2010;16:568–576.CrossRefGoogle ScholarPubMed
Stewart, LA, Tierney, JF. To IPD or not to IPD? Advantages and disadvantages of systematic reviews using individual patient data. Eval Health Prof 2002;25:76–97.CrossRefGoogle ScholarPubMed
Stewart, LA, Clarke, MJ. Practical methodology of meta-analyses (overviews) using updated individual patient data. Cochrane Working Group. Stat Med 2005;14:2057–2079.CrossRefGoogle Scholar

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  • Video Laparoscopy
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.019
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  • Video Laparoscopy
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.019
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Video Laparoscopy
  • Edited by Camran R. Nezhat, Stanford University School of Medicine, California, Farr R. Nezhat, Nezhat Surgery for Gynecology/Oncology, New York, Ceana Nezhat, Nezhat Medical Center, Atlanta, Nisha Lakhi, Richmond University Medical Center, New York, Azadeh Nezhat, Nezhat Institute and Center for Special Minimally Invasive and Robotic Surgery, California
  • Book: Nezhat's Textbook of Minimally Invasive Surgery
  • Online publication: 06 November 2025
  • Chapter DOI: https://doi.org/10.1017/9781108561440.019
Available formats
×