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| Name | Class |
|---|---|
| GZA Ziekenhuizen Campus Sint-Augustinus | OTHER |
| Centre Hospitalier Régional de la Citadelle | OTHER |
| Cliniques universitaires Saint-Luc- Université Catholique de Louvain | OTHER |
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To study which surgical technique offers better results in treating endometriomas in terms of ovarian reserve preservation.
The 2 conservatives techniques used are:
Ovarian reserve will be assessed by consecutive measurements of AMH serum levels before and after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The combined technique | Active Comparator | First step consisting of stripping the cyst wall for 80% of the surface, followed by a second step consisting of ablation of the remaining 20% cyst surface. |
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| CO2 laser vaporization only | Active Comparator | CO2 laser vaporization only of the complete inner cystic wall after drainage of the cyst content, irrigation and inspection of its inner wall. Ablation of the inner cyst wall using the CO2 laser (Lumenis). Power settings of 30-55W for CO2 laser beam and 6-10W for CO2 fibre are used. The laser should be on the ablate function to widen the beam (e.g. Surgitouch modus). The laser should be applied in Surgitouch modus so that it can ablate the cyst surface while preserving the underlying healthy tissue. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comparison between 2 different laparoscopic techniques in conservative surgical treatment of endometriomas (both arms are existing and accepted surgical strategies). | Procedure | cf. different arms |
| Measure | Description | Time Frame |
|---|---|---|
| AMH levels 3 months postoperatively | To assess the effect of conservative laparoscopic treatment of endometrioma(s) on ovarian reserve as reflected by AMH in patients planned for laparoscopic CO2 laser surgery. For the primary outcome evaluation of serum AMH will be done before (baseline) and after (at 3 months follow up) laparoscopic treatment of endometrioma(s). | 3 months postoperatively |
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Population: patients planned for laparoscopic CO2 laser surgery for endometriotic cysts.
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carla Tomassetti, MD, PhD | Contact | +3216340825 | carla.tomassetti@uzleuven.be | |
| Celine Bafort, MD | Contact | +3216340088 | celine.bafort@uzleuven.be |
| Name | Affiliation | Role |
|---|---|---|
| Carla Tomassetti, MD, PhD | Leuven University Fertility Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GZA Sint-Augustinus | Recruiting | Antwerp | 2610 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40048474 | Derived | Bafort C, Lie Fong S, Fieuws S, Geysenbergh B, Nisolle M, Squifflet JL, Tebache L, Wyns C, Meuleman C, Tomassetti C. Conservative endometrioma surgery: The combined technique versus CO2-laser vaporization only (BLAST: Belgium LAser STudy): Clinical protocol for a multicenter randomized controlled trial. PLoS One. 2025 Mar 6;20(3):e0315709. doi: 10.1371/journal.pone.0315709. eCollection 2025. |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Cliniques universitaires Saint-LUC (UCL) | Recruiting | Brussels | Belgium |
|
| UZLeuven | Recruiting | Leuven | 3000 | Belgium |
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| CHR La Citadelle | Recruiting | Liège | 4000 | Belgium |
|
| D000091662 | Genital Diseases |