Change in Pain and Quality of Life Among Women Enrolled in a Trial Examining the Use of Narrow Band Imaging During Laparoscopic Surgery for Suspected Endometriosis

Gallicchio L, Lisa Gallicchio, Kathy J. Helzlsouer, Helzlsouer KJ, Kevin M. Audlin, Audlin KM, Miller C, Charles Miller, Charles E. Miller, Ryan MacDonald, MacDonald R, Mary Johnston, Johnston M, Fermin F Barrueto, Barrueto FF, Fermin Barrueto
Journal of Minimally Invasive Gynecology · 2015 · vol. 22(7) , pp. 1208–1214 · doi:10.1016/j.jmig.2015.06.017 · PMID:26140829 · W2164354617
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This trial examined how narrow band imaging during laparoscopic surgery for suspected endometriosis affected pain and quality of life in women.

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Abstract

Study objectiveTo examine whether the addition of narrow band imaging (NBI) to traditional white light imaging during laparoscopic surgery impacts pain and quality of life (QOL) at 3 and 6 months after surgery among women with suspected endometriosis and/or infertility.DesignA randomized controlled trial (Canadian Task Force classification level I).SettingThe trial was conducted in 2 medical centers.PatientsFrom October 2011 to November 2013, 167 patients undergoing laparoscopic examination for suspected endometriosis and/or infertility were recruited. The analytic study sample includes 148 patients with pain and QOL outcome data.InterventionsPatients were randomized in a 3:1 ratio to receive white light imaging followed by NBI (WL/NBI) or white light imaging only (WL/WL).Measurements and main resultsQuestionnaires were administered at baseline and at 3- and 6-month follow-up time points. Average and most severe pain at each time point were assessed using a 10-cm visual analog scale. QOL was measured using the Endometriosis Health Profile-30. Baseline characteristics were similar for the study groups. The WL/NBI and WL/WL groups had similar reductions in pain at 3 and 6 months. In addition, QOL improved similarly for both the WL/NBI and WL/WL groups at 3 and 6 months.ConclusionLaparoscopic surgery for suspected endometriosis is associated with a reduction in pain and an improvement in QOL. The differences in pain reduction and QOL improvement, which are noted at 3 months and remain stable at 6 months after surgery, are similar for those undergoing surgery with WL/NBI compared with those undergoing surgery under traditional white light conditions.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Narrow Band Imaging Pain Quality of Life Adult Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Middle Aged Pain Pain Pain Pain Measurement

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