Abstract

T HE importance of superior hypogastric sympathectomy for the relief of primary and acquired dysmenorrhea has been emphasized recently in reports by Duncan1 Tucker,* Ingersoll and Meigs,3 and Browne.4 We have been interested in the use of this procedure primarily for the relief of pain associated with pelvic endometriosis and herewith we present our results in a series of 30 patients so treated at the St. Margaret Memorial Hospital during the years 1946 to 1951, inclusive, Follow-up studies were available on all, the postoperative period at the time of this writing ranging from six years to seven months. Our series, although small, comprises the’largest number of cases we have found in the literature to date, in which the importance of presacral neurectomy as a part of the conservative surgical management of endometriosis is emphasized.

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