Laser laparoscopy in the treatment of endometriosis. A 5‐year study
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Carbon-dioxide laser laparoscopy effectively treated 228 endometriosis patients over five years, improving pain in 70% and fertility in 80% of infertile women with few complications.
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Abstract
The carbon-dioxide laser used laparoscopically provides a precise and virtually bloodless technique for the vaporization of endometriotic implants in the pelvis. The technique has been used at St Luke's Hospital, Guildford, for the past 6 years and this report presents 228 consecutive patients with endometriosis treated during the 5 years between 1982 and 1987 and followed up for between 1 and 6 years. Pain was improved in 70% and 80% of the 56 infertile patients with endometriosis as the only identifiable abnormality conceived. Of the 54 pregnancies, only 37 (69%) had a successful outcome, reflecting the high pregnancy failure rate found in women with endometriosis. Hospital stay was relatively short and complications were few and usually minor and there was no injury or morbidity caused by laser energy. The main advantage of laser laparoscopy in endometriosis is that patients may be treated at the time of diagnosis with less need for medication and no delay before conception is attempted.
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- Medical Treatment of Ureteral Obstruction Associated With Ovarian Remnants and/or Endometriosis: Report of Three Cases and Review of the Literature 2014
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- A Comparative Study of the use of Different Energy Sources in Laparoscopic Management of Endometriosis-Associated Infertility 2011
- The emerging role of epigenetics in the aetiology of endometriosis. 2011
- Clinical Aspects of Endometriosis 2010
- Treatment of endometriosis with laparoscopic surgery today 2010
- Life after a diagnosis with endometriosis ‐ a 15 years follow‐up study 2009
- Treatment of pelvic pain associated with endometriosis 2008
- Laser in Subfertility 2008
- The Management of Chronic Pelvic Pain 2008
- Current Approaches to Optimizing the Treatment of Endometriosis in Adolescents 2008
- Laparoscopic laser resection of rectovaginal pouch and rectovaginal septum endometriosis: the impact on pelvic pain and quality of life 2007
- Treatment of pelvic pain associated with endometriosis 2006
- Lasers in the surgical management of endometriosis 2005
- A randomized trial of excision versus ablation for mild endometriosis 2005
- Evaluating the responsiveness of the endometriosis health profile questionnaire: The EHP-30 2004
- Laser Vaporization and Electrocoagulation of Endometriosis 2004
- Intestinal endometriosis: The great masquerader 2004
- Diagnosis and treatment of endometriosis 2003
- Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III–IV endometriosis and endometriotic cysts 2003
- Laparoscopic Surgery for Pelvic Pain 2002
- Recurrence of Chocolate Cysts after Laparoscopic Ablation 2002
- A prospective, randomized, double‐blind controlled trial of laparoscopic uterine nerve ablation in the treatment of pelvic pain associated with endometriosis 2001
- Arcus taurinus: the ‘mother and father’ of all LUNAs 2001
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- Medical and Surgical Therapies for Pain Associated with Endometriosis 2001
- Surgical Management of Adhesions, Endometriosis, and Tubal Pathology in the Woman With Infertility 2000
- Endometriosis: An Overview of the Disease and Its Treatment 2000
- Combined ultrasonographically guided drainage and methotrexate administration for treatment of endometriotic cysts 2000
- Endometriosis 2000
- An audit of conservative survery for endometriosis in a district general hospital 1995-1998 2000
- Surgical management of endometriosis 2000
- Combined Medical and Surgical Treatment of Women with Endometriosis 1999
- Operative management of deep endometriosis infiltrating the uterosacral ligaments 1999
- The evidence for the management of endometriosis 1998
- Surgical Management of Pelvic Pain 1998
- Endometriosis: critical assessment of current therapies 1998
- Endoscopic dissection of the uterosacral ligaments for the treatment of chronic pelvic pain 1998
- Endometriosis Update 1997
- Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis 1997
- Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study 1996
- Endometriosis: An Enigmatic Disease 1996
- Surgical Therapy of Endometriosis 1996
- Laparoscopic treatment of symptomatic endometriosis 1996
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- Treatment of Infertility Associated With Endometriosis 1995
- Complications of laser laparoscopy: Eleven years experience 1995
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