Evidence-based gynecological practice—clinical review 2: Surgery for pain in endometriosis. What is the evidence?

Shaheen Khazali, E.N. Dimitriou, Jeremy Wright
In: Gynecological Surgery · 2009 · vol. 6(4) · doi:10.1007/s10397-009-0480-8 · W2050202964
article OA: closed CC0 ⤵ 1 in-corpus citation
Limited metadata. Only one source feed has indexed this record so far — no abstract, full text, or open-access copy is available through Endo Lab. The publisher's page (linked below) is the canonical location for the actual content. If you have institutional access, use "Find at my library".
View at publisher → View on OpenAlex
⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This paper demonstrates how to search for and appraise literature to answer a clinical question regarding surgical treatment for endometriosis-related pain when medical treatments have failed.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper is an evidence-based gynecological clinical review that demonstrates how to search the biomedical literature to answer a clinical question about whether conservative laparoscopic surgery reduces pain or improves quality of life in women with endometriosis whose medical therapy has failed. Using a detailed PICO framework and searches across Medline (Ovid), the Cochrane Library, DARE, and HTA—using MeSH terms and specific surgery-related keywords—the authors identify and screen citations, emphasizing that high-quality evidence is often limited in surgical endometriosis research because RCTs are rare and have narrowly selected populations. As a worked example, they describe that a relevant Cochrane review available in 2001 included only one RCT, in which 63 women with minimal-to-moderate endometriosis were randomized to CO2 laser vaporization plus uterine nerve ablation versus diagnostic laparoscopy placebo, and note a significant reduction of pain outcomes (with details continuing beyond the provided excerpt). The main limitation explicitly highlighted is that evidence hierarchies and RCT inclusion/exclusion criteria may not represent real-world patients. This paper is centrally about endometriosis — it specifically models how to find and appraise evidence for the effectiveness of conservative laparoscopic surgery for pain in endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (53)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-06-02T02:00:03.124865+00:00
License: CC0 · commercial use OK