Laparoscopic uterine nerve ablation (LUNA) is used most commonly in the treatment of-
Ablation of endometriotic lesions along with laparoscopic uterine nerve ablation (LUNA) in minimal to moderate disease reduces pain associated with endometriosis Ablation of endometriotic lesions plus adhesiolysis in minimal to mild endometriosis is more effective than diagnostic laparoscopy alone in improving feility LUNA: involves the destruction of the uterine nerve fibres that exit the uterus through the uterosacral ligament. Impoant complication is devervation of pelvis and uterine prolapse PSN: Pre Sacral Neurectomy: interruption of sympathetic innervation of the uterus at the level of superior hypogastric plexus
Mild to mod Endometriotic lesions
Severe Vasomotor symptoms of menopause
Conservative management of Fibroids
Pain relief in Ca Ovary
Endometriosis, Adenomyosis