Deep Endometriosis Clinical Trial
Official title:
Estimation of Vascularization After Treatment of Deep Rectovaginal Endometriosis Node by Rectal Shaving, Using Indocyanine Green Injection. Feasibility Study
Indocyanine green is a dye, using in surgery to bring out the intraoperative evaluation of
tissue perfusion.
After intravenous injection of indocyanine green, using a near infrared light, the
vascularisation becomes fluorescent.
In endometriosis disease, the treatment of recto vaginal node can be complicated by
rectovaginal fistula.
An abnormal vascularisation related to the surgery would be a risk factor of post operative
fistulas.
The aim of this study is to evaluate the rectal and vaginal vascularisation during the
treatment of a recto vaginal endometriosis nodule with rectal shaving, using indocyanine
green fluorescence.
Investigators are going to inject, at the end of a rectal shaving, a bolus of 0,2mg/kg of
indocyanine green after dilution (2,5mg/ml). With de SPIES system (KARL STORZ GmbH & Co. KG,
Tuttlingen, Germany), the vascularisation would be imediately fluorescent. Investigators are
going to estimate the vascularization of the rectal serosa and mucosa where the nodule was
located.
If a vaginal resection has been performed, investigators are going to estimate the
vascularization of the vaginal scar.
To estimate de vascularization, investigators are going tu use a scale with a score between 0
and 4.
After the surgery, the post-operative follow-up with be the same as usual after a Rectal
Shaving.
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