Laparoscopic presacral neurectomy is a safe, effective, and well-establishe
d surgical procedure to relieve intractable dysmenorrhea and chronic pelvic
pain. In one woman, substantial lymphatic leakage occurred due to damaged
lymphatic vessels. Adequate exposure and coagulation of the presacral lymph
atic zone through the laparoscope resolved the problem, and a substantial a
mount of chylous ascites was removed. The patient fully recovered after the
intervention.