Laparoscopic laser surgery of gynecology

Mineto Morita, Yoshiaki Yano, Harumi Kubo, K Momose
In: THE JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE · 1992 · vol. 13(Supplement) , pp. 161–164 · doi:10.2530/jslsm1980.13.supplement_161 · W2314547171
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Laparoscopic Nd:YAG laser surgery effectively treated endometriosis, adhesions, and hydrosalpinx, resulting in pregnancy in 48% of infertility patients and pain relief in 93% of dysmenorrhea patients.

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This study evaluated the efficacy of Nd:YAG laser-assisted laparoscopic surgery for treating gynecological conditions, primarily focusing on endometriosis and infertility. The research involved 136 patients with endometriosis who presented with either infertility or dysmenorrhea, alongside smaller cohorts with peritubal adhesions, perifimbrial adhesions, and hydrosalpinx. Key findings indicated that 48% of endometriosis-related infertility cases achieved pregnancy post-procedure, while nearly all patients with dysmenorrhea experienced pain relief. The authors concluded that these laparoscopic techniques are effective treatments for improving fertility outcomes and alleviating pelvic pain in affected women. This paper is centrally about endometriosis — specifically the use of laparoscopic laser coagulation and cyst removal to treat associated infertility and dysmenorrhea.

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Abstract

We used the Nd:YAG laser for treatment of endometriosis (136cases), peritubal adhesions (62cases), perifimblial adhesions (7cases) and hydrosalpinx (24cases) patients. Endometriosis patients complained of infertility (108cases) and dysmenorrhea (28cases).The laparoscopic procedures so far undertaken in our clinic include: Coagulation of peritoneal endometriosis, aspiration of chocolate cyst, removal of ovarian endometriosis, uterine nerve ablation, fimbrioplasty, adhesiolysis, salpingostomy and irrigation.After undergoing this procedure, 52 of 108 patients of endometriosis(48%) achieved pregnancy and 26 of 28 dysmenorrhea patients obtained pain relief.Thirteen of 36 patients of peritubal adhesion(36.1%), 2 of 7 patients of perifimblial adhesion(28.6%), and 4 of 24 patients of hydrosalpinx(16.7%) achieved pregnancy.We confirmed that laparoscopic laser surgery is an effective treatment for infertility and dysmenorrhea patients.
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産婦人科腹腔鏡下レーザー手術 1992 年 13 巻 Supplement 号 p. 161-164 詳細 抄録 We used the Nd:YAG laser for treatment of endometriosis (136cases), peritubal adhesions (62cases), perifimblial adhesions (7cases) and hydrosalpinx (24cases) patients. Endometriosis patients complained of infertility (108cases) and dysmenorrhea (28cases). The laparoscopic procedures so far undertaken in our clinic include: Coagulation of peritoneal endometriosis, aspiration of chocolate cyst, removal of ovarian endometriosis, uterine nerve ablation, fimbrioplasty, adhesiolysis, salpingostomy and irrigation. After undergoing this procedure, 52 of 108 patients of endometriosis(48%) achieved pregnancy and 26 of 28 dysmenorrhea patients obtained pain relief. Thirteen of 36 patients of peritubal adhesion(36.1%), 2 of 7 patients of perifimblial adhesion(28.6%), and 4 of 24 patients of hydrosalpinx(16.7%) achieved pregnancy. We confirmed that laparoscopic laser surgery is an effective treatment for infertility and dysmenorrhea patients. The laparoscopic procedures so far undertaken in our clinic include: Coagulation of peritoneal endometriosis, aspiration of chocolate cyst, removal of ovarian endometriosis, uterine nerve ablation, fimbrioplasty, adhesiolysis, salpingostomy and irrigation. After undergoing this procedure, 52 of 108 patients of endometriosis(48%) achieved pregnancy and 26 of 28 dysmenorrhea patients obtained pain relief. Thirteen of 36 patients of peritubal adhesion(36.1%), 2 of 7 patients of perifimblial adhesion(28.6%), and 4 of 24 patients of hydrosalpinx(16.7%) achieved pregnancy. We confirmed that laparoscopic laser surgery is an effective treatment for infertility and dysmenorrhea patients. © 特定非営利活動法人 日本レーザー医学会

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endometriosisdysmenorrheainfertility

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