Safety of the Helica Thermal Coagulator in treatment of early stage endometriosis

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This prospective study found the Helica Thermal Coagulator to be a safe laparoscopic treatment for early stage endometriosis in 250 women, with no significant operative complications reported.

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Abstract

The objective of this prospective study was to assess the safety and short-term outcome of the Helica Thermal Coagulator in the laparoscopic treatment of early stage endometriosis. Two hundred and fifty consecutive women with chronic pelvic pain and stage I and II endometriosis (r-AFS classification) were treated laparoscopically with the Helica Thermal Coagulator. No bladder, ureteric or bowel injuries occurred. None of the procedures was converted to laparotomy and there were no major peri-operative complications. The only complication was a vaginal perforation during dissection of the cul-de-sac in a patient with a vaginal vault endometriotic nodule. We conclude that the Helica Thermal Coagulator is a safe alternative for the treatment of mild to moderate endometriosis. Long-term efficacy studies are required to better assess the role of the device in laparoscopic management of endometriosis.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Electrocoagulation Endometriosis Laparoscopy Adolescent Adult Electrocoagulation Electrocoagulation Electrocoagulation Endometriosis Female Humans Laparoscopy Middle Aged Pelvic Pain Postoperative Complications

Citation neighborhood

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