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LAS VEGAS -- Patients who remain awake during laser treatment for superficial endometriosis can help assess whether the treatment reduces their pelvic pain, Dr. Larry Demco said at an international congress of the Society of Laparoendoscopic Surgeons.
His assessment is based on the results of a small study in which I1 of 17 women with superficial endometriosis received only conscious sedation during pain mapping, treatment of endometriosis lesions with an argon plasma beam coagulator, and repeat pain mapping.
Two patients required general anesthesia because pain limited access to the lesions for treatment, and four patients requested general anesthesia before completion of treatment.
"If the patient is awake and can give instant feedback, it gives us some credibility" in treating the endometriosis as the cause of pelvic pain, said Dr. Demco of Calgary, Alta.
All of the patients in the study had endometriosis lesions larger than 2 cm in diameter. Lesions were treated on both pelvic sidewalls and the cul-de-sac in all patients, and three ...
Source: HighBeam Research, Awake patient can facilitate laser treatment: superficial...