Reproductive outcome after laparoscopic treatment of minimal and mild endometriosis using Helica Thermal Coagulator

Luciano G. Nardo, Nardo LG, Magdy Moustafa, Moustafa M, Beynon DW, D W Gareth Beynon
European journal of obstetrics, gynecology, and reproductive biology · 2005 · vol. 126(2) , pp. 264–267 · doi:10.1016/j.ejogrb.2005.10.033 · PMID:16377064 · W2015427279
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This study evaluated pregnancy rates following laparoscopic treatment of minimal and mild endometriosis using the Helica Thermal Coagulator.

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Abstract

OBJECTIVE: To investigate the reproductive outcome following Helica Thermal Coagulator (Helica TC) in an infertile population with early-stage endometriosis. DESIGN: A clinical observational trial conducted in a NHS tertiary referral centre for treatment of endometriosis. Forty-four healthy infertile women (mean age 21 years, range 18-34 years) with laparoscopically confirmed diagnosis of minimal (stage I) or mild (stage II) endometriosis were included. All visible endometriotic lesions and adhesions were treated using Helica TC at the same time of diagnostic laparoscopy. Following laparoscopy, women attempted to conceive spontaneously and were followed for 12 months or until delivery. No hormonal therapy for endometriosis was given whatsoever. RESULTS: One woman was lost to follow-up and the remaining 43 women were considered in the final analysis. The cumulative pregnancy rate was 23.2% (10/43). All pregnancies occurred spontaneously and neither miscarriages nor ectopic pregnancies were observed. Pregnancy rate did not differ between women with stage I and those with stage II endometriosis. The time-to-pregnancy was similar in women with different stage endometriosis. No surgical complications were encountered. CONCLUSIONS: These findings suggest that Helica TC is a simple and safe conservative laparoscopic surgery for early-stage endometriosis. Helica TC appears to improve reproductive outcome in women with otherwise unexplained infertility. Large RCTs are needed to define these preliminary data.

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Condition tags

endometriosis

MeSH descriptors

Electrosurgery Endometriosis Laparoscopy Adult Adult Electrosurgery Electrosurgery Endometriosis Endometriosis Endometriosis Female Female Fertility Fertility Humans Humans Laparoscopy Laparoscopy Middle Aged Middle Aged

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (35)

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