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Cited by 83Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Laparoscopy and Reported Pain among Patients with Endometriosis

Jarrell, John, Mohindra, Ruchi, Ross, Sue, Taenzer, Paul, Brant, Rollin·2005·Journal of Obstetrics and Gynaecology Canada
DOI 10.1016/s1701-2163(16)30531-x
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Abstract

Objective To compare the effectiveness of sharp excision of endometriosis with sham surgical excision in alleviating endometriosis-associated pain for up to 1 year following surgery. Methods Patients requiring a laparoscopy for severe pelvic pain were eligible. If endometriosis was visually identified at laparoscopy, a biopsy of a representative lesion was taken. The women were then randomized either to have all remaining endometriosis excised with laparoscopic scissors (the excision group) or to have no further surgical treatment (the control group). Patients were asked to complete daily pain scales for 1 month preoperatively and quarterly for 1 year postoperatively. Subjects were blinded to their treatment allocation for 1 year. Results Twenty-nine women underwent laparoscopy and biopsy and were randomized to have excision or no treatment of endometriosis. The excision and control groups were similar in age, parity, and revised American Society for Reproductive Medicine stage of disease. Sixteen women completed the full year of follow-up: 9 in the excision group, and 7 in the control group. Overall, recorded pain was significantly reduced at 1 year (P < 0.05), with no significant difference between the excision and control groups. Conclusion Laparoscopy with diagnostic biopsy alone is associated with a significant reduction in pain for up to 1 year postoperatively. Although the study lacked sufficient statistical power to exclude an effect of excision, pain relief in each group was similar. These results indicate a potential benefit of sham surgical procedures in assessing novel surgical interventions.

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  • After surgery for symptomatic endometriosis, about 20% of patients do not obtain relief, and those who fail are more likely to have minimal or mild endometriosis.

    “Studies on the effectiveness of surgery for symptomatic endometriosis illustrate that 20% of patients do not have relief after surgery and those who fail are more likely to have minimal or mild endometriosis (Sutton et al., 1994;Abbott et al., 2004;Jarrell et al., 2005).”

    From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Jarrell et al., 2005

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Authors
Jarrell, J., Mohindra, R., Ross, S., Taenzer, P., & Brant, R.
Affiliations
  • University of Calgary (CA)
  • Memorial University of Newfoundland (CA)
  • Calgary Health Region (CA)
ORCID
Venue
Journal of Obstetrics and Gynaecology Canada
Publisher
Elsevier BV
Published
2005-05
Volume
27
Issue
5
Pages
477-485
ISSN
1701-2163 (ISSN-L)
DOI
10.1016/s1701-2163(16)30531-x
OpenAlex
W2340340272
Cited by
83
References
20
Citations by year
2026: 2 · 2025: 1 · 2024: 7 · 2023: 8 · 2022: 3 · 2021: 5 · 2020: 8 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 7 · 2013: 3 · 2012: 1
FWCI
2.34
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Obstetrics and Gynaecology Canada (publishedVersion)
  • PubMed (publishedVersion)
Funders
Alberta Heritage Foundation for Medical Research
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords
endometriosis, laparoscopy, endometriosis excision, sham surgery, pelvic pain, analgesia, biopsy diagnosis, surgical excision, long-term outcomes
MeSH terms
Adult, Endometriosis, Female, Humans, Pain Measurement, Laparoscopy, Placebos, Severity of Illness Index, Single-Blind Method, Treatment Outcome

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