Safety of the Helica Thermal Coagulator in treatment of early stage endometriosis

The objective of this prospective study was to assess the safety and short-term outcome of the Helica Thermal Coagulator in the laparoscopic treatment of early stage endometriosis. Two hundred and fifty consecutive women with chronic pelvic pain and stage I and II endometriosis (r-AFS classification...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2005-01, Vol.25 (1), p.52-54
Main Authors: Hill, NCW, El-Toukhy, T, Chandakas, S, Grigoriades, T, Erian, J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Electrocoagulation - adverse effects
Electrocoagulation - instrumentation
Electrocoagulation - methods
Endometriosis
Endometriosis - surgery
Female
Gynecology
Humans
Laparoscopy - methods
Medical disorders
Medical equipment
Medical treatment
Middle Aged
Pelvic Pain
Postoperative Complications
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Summary:The objective of this prospective study was to assess the safety and short-term outcome of the Helica Thermal Coagulator in the laparoscopic treatment of early stage endometriosis. Two hundred and fifty consecutive women with chronic pelvic pain and stage I and II endometriosis (r-AFS classification) were treated laparoscopically with the Helica Thermal Coagulator. No bladder, ureteric or bowel injuries occurred. None of the procedures was converted to laparotomy and there were no major peri-operative complications. The only complication was a vaginal perforation during dissection of the cul-de-sac in a patient with a vaginal vault endometriotic nodule. We conclude that the Helica Thermal Coagulator is a safe alternative for the treatment of mild to moderate endometriosis. Long-term efficacy studies are required to better assess the role of the device in laparoscopic management of endometriosis.
ISSN:0144-3615
1364-6893
DOI:10.1080/01443610400024906