%0 Journal Article
%T Effectiveness of ovarian suspension in preventing post-operative ovarian adhesions in women with pelvic endometriosis: A randomised controlled trial
%A Wee-Liak Hoo
%A Ertan Saridogan
%A Alfred Cutner
%A George Pandis
%A Davor Jurkovic
%J BMC Women's Health
%D 2011
%I BioMed Central
%R 10.1186/1472-6874-11-14
%X A prospective double blind randomised controlled trial for patients with severe pelvic endometriosis requiring extensive laparoscopic dissection with preservation of the uterus and ovaries. Severity of the disease and eligibility for inclusion will be confirmed at surgery. Patients unable to provide written consent, inability to tolerate a transvaginal ultrasound scan, unsuccessful surgeries or suffer complications leading to oophorectomies, bowel injuries or open surgery will be excluded.Both ovaries are routinely suspended to the anterior abdominal wall during surgery. At the end of the operation, each participant will be randomised to having only one ovary suspended post-operatively. A new transabdominal suture will be reinserted to act as a placebo. Both sutures will be cut 36 to 48 hours after surgery before the woman is discharged home. Three months after surgery, all randomised patients will have a transvaginal ultrasound scan to assess for ovarian mobility. Both the patients and the person performing the scan will be blinded to the randomisation process.The primary outcome is the prevalence of ovarian adhesions on ultrasound examination. Secondary outcomes are the presence, intensity and site of post-operative pain.This controlled trial will provide evidence as to whether temporary ovarian suspension should be included into the routine surgical treatment of women with severe pelvic endometriosis.ISRCTN: ISRCTN24242218Endometriosis is a common benign condition, which is characterized by the growth of endometrium-like tissue in ectopic sites outside the uterus. The condition is a significant cause of morbidity in women of the reproductive age [1]. Symptoms of endometriosis include dysmenorrhoea, dyspareunia, chronic pelvic pain and subfertility. The revised American Society for Reproductive Medicine (ARSM) classification is the most widely accepted staging system for endometriosis, where a score is used to grade the disease as absent (0), minimal (1-5), mild (
%U http://www.biomedcentral.com/1472-6874/11/14