Randomised, controlled clinical study with patients with endometriosis and the desire to have children – Comparison between peritoneal ablation by excision only and excision with the application of an adhesionbarrier
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- N80.9
- Sponsor
- Pius-Hospital Universitätsklinik für Frauenheilkunde, Geburtshilfe und Gynäkologische Onkologie
- Enrollment
- 58
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
58 female patients were included in the analysis. The patients were 29.94 ± 5.05 years old and had a BMI of 26.0 ± 5.36 kg/m². 20% of the patients had at least one relative with endometriosis. 51% of patients had previously undergone surgery for endometriosis. 43% of patients had stage I endometriosis, 24% had stage II endometriosis, and the remaining patients were distributed among stages 0, IV, and V (mean 15.0 ± 27.25 points in the rASRM classification). Pre-existing adhesions were detected in 49% of patients (mean 10.06 ± 23.01 points in the rASRM adhesion score). No adverse events occurred. Further analysis on pain and pregnancy will be performed in the coming months.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Preoperative inclusion criteria:
- •\- Women aged \> 18 years with endometriosis\-associated symptoms such as dysmenorrhea, dyspareunia, pelvic pain, back pain, Rectal, Defecation pain (the presence of individual complaints are accepted as an inclusion criterion)
- •\- Subjects are in a good general state of health
- •\- Up to endometriosis can be no other obvious diseases associated with chronic pain or other cause of abdominal pain
- •\- The subjects have reproductive desire
- •\- Subjects understand the course of the study and agree to participate
- •\- The subjects must be the capacity to consent, that is, they must understand the risks and benefits of the study and are free to agreement to participate in the study
- •\- There is a written consent form, by hand filled and signed, which has been confirmed by the competent ethics committee before.
- •Intraoperative inclusion criteria:
- •\- Pelvic Endometriosis
Exclusion Criteria
- •Preoperative exclusion criteria:
- •\- Existing pregnancy, including an ectopic pregnancy
- •\- In clinical examination there are findings of other causes of complaints
- •\- Chronic diseases different of endometriosis which requires pain management
- •\- Pre\-treatment with GnRH analogues in a period of 6 months prior to study entry
- •\- Use of systemic corticosteroids or antineoplastic drugs and / or performing an irradiation
- •\- Planned additional general surgeries during the same surgery for endometriosis
- •Intraoperative exclusion criteria:
- •\- no visible endometriosis foci at laparoscopy
- •\- Evidence of an existing pregnancy, including a ectopic pregnancy
Outcomes
Primary Outcomes
Not specified