Chris Sutton

The objective of this study was to determine if the combination of tenderness-guided endovaginal ultrasound and digital pelvic exam (i.e. EVUS-assisted exam) for preoperative pain mapping, in cases without nodules or endometriomas, increase…

The history of energy sources used in surgery is inextricably linked to the history of electricity. Milestones include identification of safe electrical waveforms that can be used in the human body, patient isolation to prevent alternate-si…

BACKGROUND: There have been conflicting results in randomized trials of the effects of laparoscopic uterosacral nerve ablation (LUNA) in chronic pelvic pain. Our objective was to perform a meta-analysis using individual patient data (IPD) t…

BACKGROUND: Currently, there are a number of clinical trials, but no international collaboration for collating research on effectiveness of laparoscopic uterosacral nerve ablation (LUNA) for alleviating chronic pelvic pain. OBJECTIVE: Meta-…

Although shrouded in the mists of antiquity, descriptions of most gynecologic diseases can be recognized in the writings of Hippocrates (Figure 1.1), Soranus of Ephesus, or followers of the Roman god of healing Asclepios (Latin Aesculapius)…

Endometriosis affects a huge number of women throughout the world. It has been estimated that between 1% and 15% of women who are examined for pelvic pain and infertility may have endometriosis; the true prevalence is unknown because diagno…

Endometriosis is one of the most common benign conditions found among gynaecological patients. Various estimates suggest that 6-44% of women of a reproductive age have endometriosis. However, as the accurate diagnosis of this condition depe…

When a disease is studied only in patients in a hospital, the symptomatic and morphologic features seen in those hospitalized patients may not accurately reflect the wild type disease which is prevalent in the population as a whole. This ma…

ObjectiveTo document the changes in pain scores 3-12 months following ablative laparoscopic surgery. Secondary outcome measures included patient satisfaction scores.DesignA prospective, cohort study.SettingA tertiary referral center for the…

The authors report the case history of a patient with symptoms and signs suggestive of endometriosis, who was found to have Schistosomiasis. The laparoscopic appearance was of gelatinous deposits throughout the pelvis which were thought to …

Colonic mucosal involvement with endometriosis can result in gastrointestinal bleeding1. The mucosal abnormalities associated with colonic endometriosis may be difficult or impossible to identify at colonoscopy2.

The objective of this study was to determine whether laparoscopic surgery for endometriomas relieves painful symptoms. A systematic literature search was carried out to identify papers relating to the laparoscopic management of endometrioma…

BackgroundOnly 21.3% of cases of malignant transformation of endometriosis occur at extragonadal pelvic sites. Forty cases of endometriosis-associated intestinal tumors are reported in the literature. Of these, 17 cases are primary adenocar…

Promoting patient safety in primary care Honesty and openness may not be best policyEditor-We were both surprised by Wilson et al who, in their editorial, ask everybody to send in reports of their errors. 1Our concerns remain regardless of …

BackgroundEndometriosis is a common and debilitating condition involving women during their reproductive years. It is characterized by the occurrence of endometrial glands and stroma outside the uterine cavity. Presenting symptoms include c…

Study objectiveTo estimate the recurrence rate of chocolate cysts 3 to 12 months after ablative laparoscopic surgery. The secondary outcome measure was the need for a repeat surgical procedure.DesignProspective cohort study (Canadian Task F…

ABSTRACT Objectives To audit the implementation of a consensus guideline on safe entry during laparoscopy. Design A prospective clinical study in a district general hospital, with a special interest in laparoscopic surgery for endometriosis…

To determine the value of laparoscopic uterine nerve ablation (LUNA) as part of the laparoscopic laser treatment of painful endometriosis. A prospective randomized double‐blind controlled trial. A referral centre for the treatment of endome…

Objective To determine whether goserelin (Zoladex TM ; AstraZeneca, London, UK), plus surgery offers advantages over surgery alone in the management of ovarian endometriomas. Design Prospective, multicentre, randomized, open‐label, parallel…