Laparoscopic treatment of pelvic pain associated with minimal and mild endometriosis with use of the Helica Thermal Coagulator

Luciano G. Nardo, Nardo LG, Magdy Moustafa, Moustafa M, D W Gareth Beynon, Gareth Beynon DW
Fertility and Sterility · 2005 · vol. 83(3) , pp. 735–738 · doi:10.1016/j.fertnstert.2004.07.971 · PMID:15749506 · W2137122745
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This paper examines the effectiveness of the Helica Thermal Coagulator in laparoscopically treating pelvic pain linked to minimal and mild endometriosis.

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Abstract

ObjectiveTo investigate the clinical efficacy and safety of Helica Thermal Coagulator (TC) in the treatment of pelvic pain associated with minimal (stage I) and mild (stage II) endometriosis.DesignA clinical observational study.SettingA referral center for laparoscopic treatment of endometriosis.Patient(s)Eighty-one women with pelvic pain symptoms associated with minimal and mild endometriosis diagnosed at laparoscopy.Intervention(s)Helica TC to treat endometriotic lesions. The revised American Fertility Society (rAFS) classification was used to stage endometriosis. Pain symptoms and patient satisfaction were assessed subjectively at 3 and 6 months follow-up.Main outcome measure(s)Improvement or relief of pelvic pain symptoms, and intra- or postoperative complications.Result(s)A total of 79 women completed the study to 6 months follow-up. At 3 months, 59 (74.7%) women reported resolution and satisfactory improvement of symptoms, whereas 20 (25.3%) women continued to experience painful symptoms. At 6 months, 69 (87.4%) women reported resolution and satisfactory improvement of symptoms, whereas 9 (11.4%) women reported no changes and 1 (1.2%) woman experienced worsening symptoms. No significant differences were found between minimal and mild disease. No side effects or surgical complications occurred.Conclusion(s)Meaningful improvements and relief in clinical symptoms can be obtained with conservative laparoscopic surgery. Helica TC is a simple, effective, and safe device for the treatment of pelvic pain in women with stages I and II endometriosis. This approach requires further evaluation as part of randomized controlled trials.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Electrosurgery Endometriosis Hyperthermia, Induced Laparoscopy Pelvic Pain Adult Electrosurgery Endometriosis Endometriosis Female Follow-Up Studies Humans Hyperthermia, Induced Patient Satisfaction Pelvic Pain Pelvic Pain Severity of Illness Index Treatment Outcome

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