{"paper_id":"e78c3e22-ddb4-4fbb-8657-947fd72f4708","body_text":"Abstract\nIn gynecology, the carbon dioxide (CO2) laser—with its well-discussed capacities for greater precision, cleaner incisions, and faster healing than are possible with conventional methods—has become the treatment method of choice in the management of neoplastic disease of the cervix, vagina, and vulva. The CO2 laser has also been adapted to the operating microscope for reconstructive surgery of the female reproductive tract, a crucial factor in cases where preserving reproductive anatomy is desired. In April 1983 the Diagnostic and Therapeutic Technology Assessment (DATTA) project of the American Association rated the CO2 laser as\na safe and established procedure in treating selected cervical, vulvar and vaginal neoplasia and condyloma acuminatum … (especially) where the preservation of normal anatomic function is considered to be of paramount importance … because of reduced scar formation and maintenance of the normal architecture of the reproductive tract.1\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nAmerican Medical Association diagnostic and therapeutic technology assessment (report). April, 1983.\nAmerican College of Obstetricians and Gynecologists’Committee Statement: Committee on Gynecologic Practice Report on Carbon Dioxide Laser. April, 1984.\nKaplan I, Goldman J, Ger R: The treatment of erosions of the uterine cervix by means of the CO2 laser. Obstet Gynecol 41:795, 1973.\nBellina JH: Gynecology and the laser. Cont OB/GYN 4:24–34, 1974.\nBellina JH, Ross LF, Yoros JI: Colposcopy and the CO2 laser fortreatment of cervical intraepithelial neoplasia: an analysis of seven years’ experience. J Rep Med 28:147, 1983.\nAnderson MC: Treatment of cervical intraepithelial neoplasia with the CO2 laser: report of 543 patients. Obstet Gynecol 59:720, 1982.\nBurke L, Covell L. Antonioli D: Carbon dioxide laser therapy of cervical intraepithelial neoplasia: factors determining success rate. Lasers Surg Med 1:113, 1980.\nBurke L: The use of the carbon dioxide laser in the therapy of cervical intraepithelial noeplasia.Am J Obstet Gynecol 144:337, 1982.\nMalfetano JH, Marin AC, Malfetano JH: Experience with carbon dioxide laser in female genital neoplasia. Arizona Med Aug 1980.\nBenedet JL, Nickerson KG, White GW: Laser therapy for cervical intraepithelial neoplasia. Obstet Gynecol 58:188, 1981.\nWright YC, Davies EM: The conservative management of cervical intraepithelial neoplasia: the use of cryosurgery and the carbon dioxide laser. Br J Obstet Gynecol 88:663, 1981.\nBaggish MS: Management of cervical intraepithelial neoplasia by carbon dioxide laser. Obstet Gynecol 60:378, 1982.\nMasterson BJ, Krantz KE, Calkins JW, et al.: The carbon dioxide laser in cervical intraepithelial neoplasia: a five year experience in treating 230 patients. Am J Obstet Gynecol 139:565, 1981.\nStanhope CR, Garth DP, Stuart GC, Reid R: Carbon dioxide laser surgery. Obstet Gynecol 61:624, May 1983.\nStafl A, Wilkinson EJ, Mattingly RF: Laser treatment of cervical and vaginal neoplasia: Am J Obstet Gynecol 128:128, 1977.\nTownsend DE: Cryotherapy and CO2 laser management of cervical intraepithelial neoplasia: a controlled comparison. Obstet Gynecol 61:75, 1983.\nPopkin DR: Treatment of cervical intraepithelial neoplasia with the carbon dioxide laser. Am J Obstet Gynecol 145:177, 1983.\nWright YC: Laser surgery for cervical intraepithelial neoplasia: principles and results. Am J Obstet Gynecol 145:181, 1982.\nEvans AS: The treatment of cervical intraepithelial neoplasia using the carbon dioxide laser. Br J Obstet Gynecol 90:553, 1983.\nRopert JF, Marguet M, Mage G, et al.: Intraepithelial cervical neoplasia: incidence of associated condylomatous lesions. Results of CO2 laser treatment. J Gynecol Obstet Biol Reprod (Paris) 11:849, 1982.\nBandieramonte G, Anderola S, Azzarelli A, et al.: The outpatient-procedure effectiveness of laser treatments in oncology. Lasers Surg Med 2:281–290, 1983.\nCoupez F, Bernard P, Sadoul G: Traitement des dysplasies cervicales par le laser CO2. Rev Gynecol Obstet 76:367–370, 1981.\nBerget A: CO2 laser surgery of the uterine cervix without anesthesia: preliminary report. Ugeskr Laeger (Denmark) 145:1779, June 1983.\nUeki M, Kitsuki K, Iito Y, et al.:Clinical studies on the healing process of cervical pseudoerosion after treatment with CO2 laser, electrocoagulation and cryosurgery. Nippon Sanka Fujinka Gaddai Zasshi (Japan) 35:629, 1983.\nLane V: Lasers in the therapy of cervical and vaginal lesions.Cesk Gynekol (Czechoslovakia) 47:528, 1982.\nAvdeev AM, Breusenko VG, Pushkin SK, Fedorov IG: Use of lasers in gynecological operations. Akush Ginekol (Mosk) 11:20, 1982.\nRubinstein E: Laser surgery in gynecology: results from the Sinai Hospital of Detroit. Lakartidningen (Sweden) 79:41–71, 1982.\nPetrilli ES: Vaginal intraepithelial neoplasia: biologic aspects and treatment with topical 5-fluorouracil and the carbon dioxide laser. Am J Obstet Gynecol 138:321, 1980.\nCapen VC: Laser therapy of vaginal intraepithelial neoplasia. Am J Obstet Gynecol 142:973, 1982.\nJobson VW: Treatment of vaginal intraepithelial neoplasia with the carbon dioxide laser. Obstet Gynecol 62:90, 1983.\nTownsend DE, Levine RU, Richart RM, et al.: Management of vulvar intraepithelial neoplasia by carbon dioxide laser. Obstet Gynecol 60:49, 1982.\nFerenczy A: Using lasers’ to treat condylomas and VIN. Cont OB/GYN 20:57, 1982.\nDorsey JH, EverettDS: Microsurgical conization of the cervix by carbon dioxide laser. Obstet Gynecol 54:566, 1979.\nLarsson G, Alm P, Grundsell H: Laser conization versus cold knife conization. SurgGynecol Obstet 154:59, 1982.\nTownsend DE, Levine RU, Crum DP, Richart RM: Treatment of vaginal carcinoma in situ with the carbon dioxide laser. Am J Obstet Gynecol 143:565, 1982.\nBaggish MS: Treatment of vulvar carcinoma in situ. Obstet Gynecol 57:371, 1981.\nSchellhas JF.: Laser surgery in gynecology. Surg Clin North Am 48:151, 1978.\nBaggish MS: Complications associated with carbon dioxide laser surgery in gynecology. Am J Obstet Gynecol 139:568, 1981.\nVoros JI: Treatment of vaginovulvar carcinomal in situ with the CO2 laser. Presented at the American Society for Colposcopy and Cervical Pathology/Gynecologic Laser Society Combined Meeting, Orlando, FL, March 1984.\nEmanuelli H., Bandieramonte G., Marchesini R., et al.: Laser oncology in Italy: experimental. research and, clinical applications at the National Cancer Institute, Milan. Lasers Surg Med 2:373–381, 1983.\nPowell JL: Carbon dioxide laser surgery for condylomata acuminata. J Med Assoc GA 71:698, 1982.\nBaggish MS: Treating viral veneral infections with the CO2 laser. J Reprod Med 27:739, 1982.\nCalkins JW, Masterson BJ, Magrina JF, Capen CV: Management of condyloma acuminatum with carbon dioxide laser. Obstet Gynecol 59:105; 1982.\nBellina JH: The use of the carbon dioxide laser in the management of condyloma acuminatum with eight-year follow-up. Am J Obstet Gynecol 147:375, 1983.\nFerenczy A: Treating genital condyloma during pregnancy with the carbon dioxide laser. Am J Obstet Gynecol 148:9, 1984.\nBellina JH, Polanyi TG: Management of vaginal adenosis and related cervicovaginaldisorders in DES-exposed progeny by means of carbon dioxide laser surgery. J Rep Med 16:295, 1976.\nVoros JI, Bellina JH, et al.: Management of ectopic pregnancy by carbon dioxide laser. J La St Med Soc Sept 1983, 9–11.\nGoldrath M, Futter T, Segal S,: Laser photo-vaporization of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol 140:14, 1981.\nGomel V: Causes of failure of reconstructive infertility, microsurgery. J Rep Med 24:239, 1980.\nBoeckx W, Gordts S, Vasquez G, Brosens I: Microsurgery in gynecology. Int Surg 66:47–52, 1981.\nKlink F, Grosspietzsch R, Klitzing LV, et al.: Animal in-vivo studies and in vitro experiments with human tubes for end-to-end anastomotic operation by a CO2 laser technique. Fertil Steril 30: 100, 1978.\nGrosspietzsch R, Inthraphuvasak I, Klink F, et al.: Experiments on CO2 laser techniques for operative treatment of tubal sterility. In: Bellina JH, et al. (eds): Gynecologic Laser Surgery. Plenum Press, New York, 1981, pp 367–384.\nGrosspietzsch R, Schulz BO, Klink F, et al.: Experiments on salpingolysis during refertilization operations by CO2 laser technique. In: Bellina JH, et al. (eds): Gynecologic Laser Surgery. Plenum Press, New York, 1981, pp 385–393.\nPittaway DE, Maxson WS, Daniell JF: A comparison of the CO2 laser and electrocautery on postoperative intraperitoneal adhesion formation in rabbits. Fertil Steril 40:366, 1983.\nBellina JH, Hemmings R, Voros JI, Ross LF: 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 148:327, 1984.\nMage G, Bruhat MA: Utilisation du laser CO2 en microchirurgie tubaire. Rev Med Suisse Romande (Switzerland) 101:523–4, 1981.\nBellina JH: Microsurgery of the fallopian tube with the carbon dioxide laser: analysis of 230 cases with a two year follow up. Lasers Surg Med 3:255, 1983.\nMage G, Bruhat MA: Pregnancy following salpingostomy: comparison between CO2 laser and electrosurgery procedures. Fertil Steril 40:472, 1983.\nKelly RW, Roberts DK: Experience with the carbon dioxide laserin gynecologic microsurgery. Am J Obstet Gynecol 146:587, 1983.\nBaggish MS, Chong AP: Intraabdominal surgery with the CO2 Laser. J Rep Med 28:269, 1983\nBellina JH, Voros JI, Fick AC, Jackson JD: Surgical management of endometriosis with the carbon dioxide laser. Microsurgery 5:197–201, 1984.\nChong AP, Baggish MS: Management of pelvic endom, etriosis by means ofintraabdominal carbon dioxide laser. Fertil Steril 41:14, 1984.\nBruhat MA, MageG, Manhes M: Use of the CO2 laser via laparoscopy. In: Kaplan I (ed): Proceedings of the Third International Society for Laser Surgery. International Society for Laser Surgery, Tel Aviv, 1979, p 275.\nDaniell JF, Brown DH: Carbon dioxide laser laparoscopy: initial experience in experimental animals and humans. Obstet Gynecol 59:761, 1982.\nKelly RW, Roberts DK: CO2 laser laparoscopy: a potential alternative to danazol in the treatment of state I and II endometriosis. J Rep Med 28:638, 1983.\nKeye WR, Dixon J: Photocoagulation of endometriosis by the argon laser through the laparoscope. Obstet Gynecol 62:383, 1983.\nTadir Y, Daplan I, Zuckerman Z, et al.: New instrumentation and technique for laparoscopic carbon dioxide laser operations: a preliminary report. Obstet Gynecol 63:582, 1984.\nBaggish MS: Laser endoscopy in obstetrics and gynecology. Clin Obstet Gynecol 26:2, 1983.\nLobraico RV: Lasers in gynecology. Med Instrum 17:411, 1983.\nSimonsen E, Johnsson JE, Trope C: CO2 laser for the treatment of invasive vulvar and vaginal cancer. Neoplasma 30:359, 1983.\nApfelberg DB, Mittelman H, Chadi B: Carcinogenic potential of in vitro carbon dioxide laser exposure of fibroblast. Obstet Gynecol 61:493, 1983.\nApfelberg DB, Kosek J, Maser MR: Histology of port wine stains following argon laser treatment. Br J Plast Surg 32:332, 1979.\nDougherty TJ, Kaufman JE, Goldfarb A, et a1.: Photoradiation therapy for the treatment of malignant tumors. Cancer Res 38:2628, 1978.\nRettenmaier MA, Berman ML, DiSaia PJ, et a1.: Photoradiation therapy of gynecologic malignancies. Gynecol Oncol 17:206, 1984.\nSoma H, Adiya K, Nutahara S, et al.: Treatment of vaginal carcinoma with laser photoirradiation following administration of haematoporphyrin derivative. Report of a case. Ann Chir Gynaecol 71:133, 1982.\nWard BG, Forbes IJ, Cowled PA, et al.: The treatment of vaginal recurrences of gynecologic malignancy with phototherapy following hematoporphyrin derivative pretreatment. Am J Obstet Gynecol 142:356, 1982.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1987 Springer-Verlag New York Inc.\nAbout this chapter\nCite this chapter\nBellina, J.H., Fick, A.C., Jackson, J.D. (1987). Past, Present, and Future Usage of Lasers in Gynecology. In: Apfelberg, D.B. (eds) Evaluation and Installation of Surgical Laser Systems. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4648-0_8\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-4648-0_8\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-9098-8\nOnline ISBN: 978-1-4612-4648-0\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}