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Over one thousand patients with early stage endometriosis treated with the Helica Thermal Coagulator (HELICA): safety aspects

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Abstract

Study objective: To assess the safety of the Helica Thermal Coagulator in the laparoscopic treatment of early stage endometriosis. Design: Retrospective, observational. Settings: The Princess Royal University Hospital, The Sloane and Chelsfield Park Hospitals, Kent, UK. Patients: One thousand and sixty patients with early stage endometriosis. Results: All patients were treated laparoscopically with the Helica Thermal Coagulator; a new laparoscopic device that combines electrical energy with helium for the treatment of endometriosis. No major bladder, ureteric or bowel injuries occurred. The only complication was a perforated vagina from the cutting probe during dissection of the cul-de-sac in a patient with a vaginal endometriotic nodule. Conclusion: The Helica Thermal Coagulator is a safe device for the laparoscopic treatment of endometriosis.

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References

  1. Canis M, Donnez J, Guzick D, Halme J, Rock J, Schenken R et al (1997) The revised American society of reproductive medicine classification of endometriosis. Fertil Steril 67:817–821

    Article  Google Scholar 

  2. Demco L (1998) Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy. J Am Assoc Gynecol Laparosc 5:241–245

    Article  PubMed  CAS  Google Scholar 

  3. Donaldson K, Hawthorn R (1995) Laparoscopic use of the Helica Thermal Coagulator. Helica Thermal Coagulator Medical Reports. http://www.helica.co.uk/medicalReports.html, pp 1–3

  4. Donnez J, Pirard C, Smets M, Jadoul P, Squifflet J (2004) Surgical management of endometriosis. Best Pract Res Clin Obstet Gynaecol 18:329–348

    Article  PubMed  Google Scholar 

  5. Farquhar C, Sutton C (1998) The evidence for the management of endometriosis. Curr Opin Obstet Gynaecol 10:321–332

    Article  CAS  Google Scholar 

  6. Garry R, Fountain J, Mason SU, Napp V, Brown J, Hawe J et al (2004) The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. Br Med J 328(7432):129–135

    Article  Google Scholar 

  7. Hill NC, El-Toukhy T, Chandakas S, Grigoriades T, Erian J (2005) Safety of the Helica Thermal Coagulator in treatment of early stage endometriosis. J Obstet Gynaecol 25(1):52–54

    Article  PubMed  CAS  Google Scholar 

  8. Howard F (2000) An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies. J Am Assoc Gynecol Laparosc 7:477–488

    Article  PubMed  CAS  Google Scholar 

  9. Howard F, El-Minawi A, Sanchez R (2000) Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol 96:934–939

    Article  PubMed  CAS  Google Scholar 

  10. Milingos S, Protopapas A, Drakakis P, Liapi A, Loutradis D, Kallipo G, Milingos D, Michalas S (2003) Laparoscopic management of patients with endometriosis and chronic pelvic pain. Ann N Y Acad Sci 997:269–273

    Article  PubMed  Google Scholar 

  11. Muzzi L, Marana R, Brunetti L, Orlando G, Michelotto B, Benedetti P (2000) Atypical endometriosis revisited: clinical and biochemical evaluation of the different forms of superficial implants. Fertil Steril 74:739–742

    Article  Google Scholar 

  12. Nardo L, Moustafa M, Beynon DWG (2005) Laparoscopic treatment of pelvic pain associated with minimal and mild endometriosis with use of the Helica Thermal Coagulator. Fertil Steril 83:735–738

    Article  PubMed  Google Scholar 

  13. Nduka C, Super P, Monson J, Darzi A (1994) Cause and prevetion of electrosurgical injuries in laparoscopy. J Am Coll Surg 179:161–170

    PubMed  CAS  Google Scholar 

  14. Porpora M, Koninchx P, Piazze J, Natili M, Colagrande S, Cosmi EV (1999) Correlation between endometriosis and pelvic pain. J Am Assoc Gynecol Laparosc 6:429–434

    Article  PubMed  CAS  Google Scholar 

  15. Sutton CJG (1995) Power sources in endoscopic surgery. Curr Opin Obstet Gynaecol 7:248–256

    CAS  Google Scholar 

  16. Valle R, Sciarra J (2003) Endometriosis: treatment strategies. Ann N Y Acad Sci 997:229–239

    Article  PubMed  Google Scholar 

  17. Vercellini P, Bocciolone L, Vendola N et al (1991) Peritoneal endometriosis: morphologic appearance in women with chronic pelvic pain. J Reprod Med 36:533

    PubMed  CAS  Google Scholar 

  18. Vigano P, Parazzini F, Somigliana E, Vercellini P (2004) Endomeriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol 18:177–200

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Princess Royal University Hospital, Farnborough Common, Kent, BR6 8ND, UK

    Nicholas Hill, John McQueen, Richard Morey, Stefanos Chandakas, Tarek El-Toukhy & John Erian

  2. Department of Obstetrics and Gynaecology, The Sloane and Chelsfield Park Hospitals, Farnborough Common, Kent, BR6 8ND, UK

    Nicholas Hill, John McQueen, Leila Hanna & John Erian

Authors
  1. Nicholas Hill
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  2. John McQueen
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  3. Richard Morey
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  4. Leila Hanna
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  5. Stefanos Chandakas
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  6. Tarek El-Toukhy
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  7. John Erian
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Correspondence to Nicholas Hill.

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No financial support has been granted for this study

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Hill, N., McQueen, J., Morey, R. et al. Over one thousand patients with early stage endometriosis treated with the Helica Thermal Coagulator (HELICA): safety aspects. Arch Gynecol Obstet 274, 203–205 (2006). https://doi.org/10.1007/s00404-006-0154-y

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  • DOI: https://doi.org/10.1007/s00404-006-0154-y

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