Initial experience with carbon dioxide laser laparoscopy

Chris Sutton
In: Lasers in Medical Science · 1986 · vol. 1(1) , pp. 25–31 · doi:10.1007/bf02030734 · W2009715210
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CO2 laser laparoscopy was used to treat 100 patients with endometriosis or adhesions, achieving a 75% cure rate for pain, 68% improvement for adhesiolysis, and a 64% pregnancy rate in infertile patients, with no complications.

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Abstract

Adhesions and endometriosis are commonly encountered among patients presenting with pelvic or lower abdominal pain and also in a significant proportion of infertile patients. Laparoscopic investigation is usual in patients with these problems, and it has been possible to perform endoscopic surgery with special scissors and electrodiathermy. These methods can cause troublesome bleeding, and the diathermy produces high temperatures which can be hazardous if used in the vicinity of the bowel. The carbon dioxide laser can be used endoscopically to vaporize deposits of endometriosis and adhesions with great precision and virtually no bleeding. One hundred consecutive patients with endometriosis or adhesions were treated with the CO2 laser laparoscope and followed up for at least a year. Seventy-five per cent of patients with pain due to endometriosis were cured, and 68% of patients were better after laser laparoscopic adhesiolysis. Pregnancy rate in the previously infertile group with endometriosis was 64%. There were no complications due to the intra-abdominal use of CO2 laser energy under endoscopic control, although there is a need for a controlled trial. It appears that in the hands of an experienced laparoscopist this technique is safe and effective. Similar content being viewed by others

References

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