Treatment may not be needed if your symptoms are mild. whether you've tried any of the treatments before.whether you want to become pregnant – some treatments may stop you getting pregnant.whether your main symptom is pain or difficulty getting pregnant.When deciding which treatment is right for you, there are several things to consider. All women with symptoms of endometriosis should have the condition ruled out. They will outline the risks and benefits of each. Your doctor will discuss the treatment options with you. Your doctor will discuss the best options with you for your situation. Most women with endometriosis will not need an operation to manage their symptoms. In extreme cases, you may need an operation to remove the endometriosis tissue on the affected organs. surgery to remove patches of endometriosis tissue, often by keyhole surgery.contraceptives such as the oral contraceptive pill.painkillers and anti-inflammatories – ibuprofen, paracetamol hormone medicines.reduce the likelihood of the condition returning.slow the growth of endometriosis tissue.There are treatments that can help ease and manage the symptoms of endometriosis and slow down the progression of the disease. Published by BMJ.There is currently no cure for endometriosis and it can be difficult to treat. The results will be published in peer-reviewed international journals.Īdult surgery GYNAECOLOGY Minimally invasive surgery. Informed consent will be obtained during the preoperative check-up by the operating gynaecologist. This study has been approved by the Northern Ostrobothnian Hospital District Ethical Committee at Oulu University Hospital (212/2021). As secondary outcomes, intraoperative measures, enhanced recovery after surgery factors, complications, cost and long-term quality of life measured with Endometriosis Health Profile-30 (EHP-30), Female Sexual Function Index (FSFI) and 15-dimensional (15D) questionnaires will be compared. The primary outcome will be the surgical outcome as regards to pain symptoms measured on numeric rating scale (NRS) questionnaires at 24 hours and 6, 12 and 24 months postoperatively. 70 patients will be allocated 1:1 to receive either robotic-assisted or conventional laparoscopic surgery in two strata: radical surgery (with the removal of the uterus and adnexae) and gynaecological organ-sparing surgery. Patients with deep endometriosis verified by MRI needing surgery at Oulu University Hospital (Oulu, Finland) will be considered eligible.
SURGERY FOR SEVERE ENDOMETRIOSIS TRIAL
ROBEndo is a prospective, randomised, controlled clinical trial in a single-centre setting. Advanced endometriosis surgery offers an excellent platform to study the feasibility and long-term outcomes of robotic surgery compared with conventional laparoscopy. The superiority of robotic surgery has not, however, been provedin randomised controlled studies, and there is a lack of long-term outcome data. Robotic surgery offers a high-definition three-dimensional view and articulating instruments that may allow more precise dissection than conventional laparoscopy in the pelvic area. Surgery for deep endometriosis requires advanced multidisciplinary surgical technique, often in very difficult surgical conditions, with increased risks of complications. Deep endometriosis is defined as endometriotic implants that infiltrate the underlying organs more than 5 mm in depth. Endometriosis is a common gynaecological disease affecting around 10% of fertile-aged women, causing severe pain symptoms.
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