Endometriosis
Conditions
Keywords
endometriosis, CO2 laser vapourisation, Harmonic scalpel, AFS stage I-III
Brief summary
The purpose of this study is to compare laser CO2 ablation/excision of Endometriosis (AFS stages 1-3) with excision of endometriosis using the Ethicon Harmonic ACE device. Pain scores at 6 months was the primary outcome, but secondary outcomes assessed pain scores at 1, 3 and 5 years as well as psychological state and quality of life.
Interventions
Vapourisation/excision of endometriosis AFS stages I-III using CO2 laser
Excision of endometriosis using Harmonic scalpel
Sponsors
Study design
Eligibility
Inclusion criteria
* Endometriosis grade I-III by revised American Fertility Society Scoring * Patients in whom laser treatment to the endometriosis is considered the treatment of choice. * Patients having consented to participated in the trial * Patient is 18 years old or greater * Patients who have no contraindications to either of the treatment modalities proposed
Exclusion criteria
* Patients who do not wish to participate/have not signed the informed consent form * Pregnancy of breast feeding * Patients who are unable or unwilling to discontinue hormonal treatment for 6 months * Patients who have received additional treatment for their endometriosis within 6 months of surgery * Patients with documented painful conditions of the gastrointestinal or urinary system
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue pain score (VAS) change at 6 months compared to preoperative baseline | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life survey (Endometriosis Health Profile Questionnaire) | 0, 3, 6 months and 1,3,5 years | — |
| Psychological state | 0, 3 ,6 months and 1,3,5 years | Hospital Anxiety & Depression Scale |
| Visual analogue pain score (VAS) change from baseline | 1,3 and 5 years | — |