{"paper_id":"61cd60e5-11ac-4b20-9e70-e56a1bf04100","body_text":"Abstract\nSurgical instrumentation and techniques undergo a process of continuous improvement as the scope and the goals of laparotomy and minimally invasive surgery expand. Perhaps this evolution is best exemplified in gynecology by the development of microsurgery, endoscopic surgery, electrosurgery, and laser surgery. Recognizing the importance of adhesion on the outcome of infertility surgery, the gynecologic surgeons developed more refined tools and techniques to minimize postoperative adhesion formation.1,2 Having learned that the major contributing factors to adhesion formation include tissue trauma, drying of serosal surfaces, excessive bleeding, and tissue reaction,3,4 reproductive surgeons developed the techniques of delicate tissue handling, constant irrigation, meticulous attention to hemostasis, and the use of fine instrumentation and less reactive suture material.1,2 These important microsurgical principles are applicable not only to infertility procedures but to all gynecologic operations, especially when fertility potential is of paramount importance.1\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nGomel V, McComb P: Microsurgery in gynecology. In Microsurgery Silver JS (ed.). Baltimore, Williams and Wilkins, 1979, pp. 143 – 183.\nGordts S, Boeckx W, Brosens I: Microsurgery of endometriosis in infertile patients. Fertil Steril 1974; 42: 520.\nEllis H: The cause and prevention of postoperative intraperitoneal adhesions. Surg Gynecol Obstet 1971; 133: 497.\nRyan G, Grobety J, Majno G: Postoperative peritoneal adhesions. A M J Pathol 1971; 65: 117.\nDiamond MP, Daniel JF, Martin DC, et al: Tubal patency and pelvic adhesions at early second look laparoscopy following intraabdominal use of the carbon dioxide laser: initial report of the intraabdominal study laser group. Fertil Steril 1984; 42: 717.\nDiamond MP, Daniell SF, Feste J, et al: Adhesion reformation and de novo formation after reproductive pelvic surgery. Fertil Steril 1987; 47: 864.\nTrimbos-Kemper TCM, Trimbos JB, van Hall EV: Adhesion formation after tubal surgery: results of the 8 day laparoscopy in 188 patients. Fertil Steril 1985; 43: 395.\nTulandi T, Vilos GA: A comparison between laser surgery and electrosurgery for bilateral hydrosalpinx: a 2 year follow-up. Fertil Steril 1985; 44: 846.\nTulandi T: Salpingo-ovariolysis: a comparison between laser surgery and electrosurgery. Fertil Steril 1986; 45: 48.\nDecherney AH: The leader of the band is tired. Fertil Steril 1985; 44: 299.\nLuciano AA, Maier DB, Nulsen JC, et al: A comparative study of postoperative adhesion formation following laser surgery by laparoscopy versus laparotomy in the rabbit model. Obstet Gynecol 1989; 74: 220.\nBruhat H, Mage C, Manhes M: Use of the C02 laser via laparoscopy. In Laser Surgery III, Kaplan I (ed). Proceedings of the Third International Society for Laser Surgery, Tel Aviv, 1979, p 275.\nTadir Y, Ovadia J, Zuckerman Z, et al: Laparoscopic application of the CO2 laser. In Proceedings of the 4th Congress of International Society for Laser Surgery. Tokyo Japanese Society for Laser Medicine 1981, p. 25.\nBaggish MS, el Bakry MM: Comparison of electronic super pulsed continuous wave CO2 laser in the rat uterine horn. Fertil Steril 1986; 45: 120.\nBellina JF: Microsurgery of the fallopian tube with the carbon dioxide laser: analysis of 230 cases with a 2 year follow-up. Laser Surg Med 1983; 3: 255.\nBellina JH, Hemmings R, Voros IJ, et al: Carbon dioxide laser and electrosurgical wound study with an animal model: a comparison of tissue damage and healing patterns in peritoneal tissue. Am J Obstet Gynecol 1984; 148: 327.\nChong AP, Baggish MS: Management of pelvic endometriosis by means of intraabdominal carbon dioxide laser. Fertil Steril 1984; 41: 14.\nDaniell JF, Miller W, Tosh K: Initial evaluation of the use of the potassium-titanyl phosphate (KTP/532) laser in gynecologic laparoscopy. Fertil Steril 1986; 46: 373.\nKeye WR, Hansen LW, Astin M et al: Argon laser therapy of endometriosis: a review of 92 consecutive patients. Fertil Steril 1987; 47: 208.\nJoffe SN, Brackett KA, Sankar MY, Daikuzono N: Resection of the liver with Nd-YAG laser. Surg Gynecol Obstet, 1986; 163: 437.\nShirk GJ: Use of Nd:YAG laser for the treatment of endometriosis. Am J Obstet Gynecol 1989; 160: 1344.\nFilmar S, Gomel V, McComb P: The effectiveness of CO2 laser and electromicrosurgery in adhesiolysis: a comparative study. Fertil Steril 1986; 45: 407.\nFilmar S, Jetha N, McComb P, Gomel V: A comparative histologic study on the healing process after tissue transection. I. Carbon dioxide laser and electromicrosurgery. Am J Obstet Gynecol 1989; 160: 1062.\nFilmar S, Jetha N, McComb P, Gomel V: A comparative histologic study on the healing process after tissue transection. II. Carbon dioxide laser and surgical microscissors. Am J Obstet Gynecol 1989; 160: 1068.\nLuciano AA, Whitman G, Maier DB, et al: A comparison of thermal injury healing patterns, and postoperative adhesion formation following CO2 laser and electromicrosurgery. Fertil Steril 1987; 48: 1025.\nLuciano AA, Frishman GN, Kratka SA, Maier DB: A comparative analysis of adhesion reduction, tissue effects, and incising characteristics of elec trosurgery, CO2 laser, and Nd-YAG laser at operative laparoscopy. J Laparoendosc 1993; 2: 305.\nLuciano AA, Marana R, Krakta S et al: Ovarian function after incision of the ovary by scalpel, CO2 laser and microelectrode. Fertil Steril 1991; 56: 349.\nMarana R, Luciano AA, Marendino VE, et al: Reproductive outcome after ovarian surgery: microsurgery versus CO2 laser. J Gynecol Surg 1991; 7: 159.\nPittaway DE, Maxson WS, Daniell JF: A comparison of the CO2 laser and electrocautery on postoperative intraperitoneal adhesion formation in rabbits. Fertil Steril 1983;40:366.\nLuciano AA, Lowney J, Jacobs SL: Endoscopic treatment of endometriosis-associated infertility: therapeutic, economic and social benefits. J Reprod Med 1992; 37: 573.\nMage G, Bruhat MA: Pregnancy following salpingostomy: comparison between CO2 laser and electrosurgery procedures. Fertil Steril 1983; 40: 472.\nMartin DC: Tissue effects of lasers. Semin Reprod Endocrinol 1991; 9: 118.\nFullerta: Fundamentals of lasers in surgery and medicine. In Surgical Applications of Lasers, Dixon J (ed). Chicago, Year Book, 1983, pp 11– 28.\nMckenzie AL: How far does thermal damage extend beneath the surface of the CO2 laser incision? Phys Med Biol 1983; 28: 905.\nNezhat C, Winer WK, Nezhat F: A comparison of the CO2, argon, and KTP/532 laser in the videolaseroscopic treatment of endometriosis. Colposc Gynecol Laser Surg 1988; 4: 41.\nReich H, Macgregor TS III, Vancaille TG: C02 laser used through the operating channel of laser laparoscope: in vitro study of power and power density losses. Obstet Gynecol 1991; 77: 40.\nRacette N, Filmar S, Jetha N, et al: The viability of oocytes after incision of the ovary by CO2 laser, microelectrode and scalpel. Presented at the 44th Annual Meeting of The American Fertility Society, Atlanta, October 1988. Program Supplement, p S50 (abstract PO-18)\nNezhat C, Crowgey S, Nezhat F: Videolaseroscopy for the treatment of endometriosis associated infertility. Fertil Steril 1989; 51: 23.\nFeste JR: Laser laparoscopy: a new modality. J Reprod Med 1985; 30: 413.\nMartin DC, Vanderzwaag R: Excisional techniques for endometriosis with the CO2 laser laparoscope. J Reprod Med 1987; 32: 753.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1996 Springer Science+Business Media New York\nAbout this chapter\nCite this chapter\nLuciano, A.A. (1996). Lasers. In: Sanfilippo, J.S., Levine, R.L. (eds) Operative Gynecologic Endoscopy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2330-6_3\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-2330-6_3\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7505-3\nOnline ISBN: 978-1-4612-2330-6\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}