1.1 Current evidence on the safety and efficacy of laparoscopic helium plasma coagulation of endometriosis does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research.
1.2 Clinicians wishing to undertake laparoscopic helium plasma coagulation of endometriosis should take the following action. - Inform the clinical governance leads in their Trusts. - Ensure that patients understand the uncertainty about the procedures safety and efficacy and provide them with clear written information. Use of the Institute's Information for the Public is recommended. - Audit and review clinical outcomes of all patients having laparoscopic helium plasma coagulation of endometriosis. Publication of safety and efficacy outcomes will be useful in reducing the current uncertainty. The Institute may review the procedure upon publication of further evidence.
1.3 Clinicians undertaking this procedure should have adequate training before performing the technique. The British Society for Gynaecological Endoscopy has agreed to produce standards for training.