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Carbon Dioxide-laser Versus Harmonic Scalpel in the Treatment of Pelvic Pain Due to Endometriosis

Primary Purpose

Endometriosis

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Laser
Harmonic scalpel
Sponsored by
Mr Andrew Kent
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Endometriosis focused on measuring endometriosis, CO2 laser vapourisation, Harmonic scalpel, AFS stage I-III

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Laser

    Harmonic scalpel

    Arm Description

    vapourisation/excision of endometriosis using CO2 laser

    excision of endometriosis using Harmonic scalpel

    Outcomes

    Primary Outcome Measures

    Visual analogue pain score (VAS) change at 6 months compared to preoperative baseline

    Secondary Outcome Measures

    Quality of life survey (Endometriosis Health Profile Questionnaire)
    Psychological state
    Hospital Anxiety & Depression Scale
    Visual analogue pain score (VAS) change from baseline

    Full Information

    First Posted
    October 30, 2014
    Last Updated
    March 25, 2019
    Sponsor
    Mr Andrew Kent
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02282943
    Brief Title
    Carbon Dioxide-laser Versus Harmonic Scalpel in the Treatment of Pelvic Pain Due to Endometriosis
    Official Title
    Carbon Dioxide-laser Versus Harmonic Scalpel in the Treatment of Pelvic Pain Due to Endometriosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2002 (undefined)
    Primary Completion Date
    December 2011 (Actual)
    Study Completion Date
    June 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Mr Andrew Kent

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Endometriosis
    Keywords
    endometriosis, CO2 laser vapourisation, Harmonic scalpel, AFS stage I-III

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    112 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Laser
    Arm Type
    Active Comparator
    Arm Description
    vapourisation/excision of endometriosis using CO2 laser
    Arm Title
    Harmonic scalpel
    Arm Type
    Experimental
    Arm Description
    excision of endometriosis using Harmonic scalpel
    Intervention Type
    Device
    Intervention Name(s)
    Laser
    Intervention Description
    Vapourisation/excision of endometriosis AFS stages I-III using CO2 laser
    Intervention Type
    Device
    Intervention Name(s)
    Harmonic scalpel
    Intervention Description
    Excision of endometriosis using Harmonic scalpel
    Primary Outcome Measure Information:
    Title
    Visual analogue pain score (VAS) change at 6 months compared to preoperative baseline
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Quality of life survey (Endometriosis Health Profile Questionnaire)
    Time Frame
    0, 3, 6 months and 1,3,5 years
    Title
    Psychological state
    Description
    Hospital Anxiety & Depression Scale
    Time Frame
    0, 3 ,6 months and 1,3,5 years
    Title
    Visual analogue pain score (VAS) change from baseline
    Time Frame
    1,3 and 5 years

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    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
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Andrew Kent, MD FRCOG
    Organizational Affiliation
    Royal Surrey County Hospital NHS Foundation Trust
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Carbon Dioxide-laser Versus Harmonic Scalpel in the Treatment of Pelvic Pain Due to Endometriosis

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