The use of potassium-titanyl-phosphate laser for laparoscopic removal of ovarian endometrioma

Marrs RP, Richard P. Marrs, R P Marrs
American journal of obstetrics and gynecology · 1991 · vol. 164(6) , pp. 1622–1628 · doi:10.1016/0002-9378(91)91446-4 · PMID:1828651 · W2090721739
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This paper describes the use of potassium-titanyl-phosphate laser for laparoscopic removal of ovarian endometrioma.

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Abstract

From January 1989 through January 1990, 31 patients thought to have ovarian endometrioma at ultrasonography were treated by operative laparoscopy and potassium-titanyl-phosphate laser. The endometriomas ranged from 2 to 9.2 cm in diameter by preoperative transvaginal ultrasonography. The operative procedure used was a three-puncture technique with a 600 micron fiber attached to a potassium-titanyl-phosphate laser. The power setting was 10 W with a continuous pulse. In all cases endometriomas were opened, drained, and irrigated, and the potassium-titanyl-phosphate laser was used to vaporize or remove the entire cyst lining. The ovarian edges were inverted with the laser at the end of the procedure. With one exception, there was no recurrence of endometrioma at 1, 3, and 6 months after the procedure, on the basis of transvaginal ultrasonography or laparoscopy. In one case, 4 months after the initial laparoscopic procedure, exploratory laparotomy was performed for resection of a large, recurrent endometrioma. The use of the potassium-titanyl-phosphate laser allows the laparoscopic surgeon an aggressive approach to ovarian endometriomas that in the past necessitated exploratory laparotomy.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Laser Therapy Ovarian Neoplasms Adult Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Laparoscopy Medical Illustration Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Phosphates Pregnancy Titanium Ultrasonography

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (26)

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License: CC0 · commercial use OK