Management of Infertility Patients with Moderate to Extensive Pelvic Endometriosis by Intra-Abdominal Carbon Dioxide Laser

Augusto P. Chong, MAURA KEENE
In: Journal of Gynecologic Surgery · 1986 · vol. 2(2) , pp. 99–106 · doi:10.1089/gyn.1986.2.99 · W1997547726
Non-randomised trial OA: closed CC0 ⤵ 1 in-corpus citation
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This study evaluated the intra-abdominal CO2 laser treatment for 71 infertile patients with Stages II-IV pelvic endometriosis, finding that 59.2% of those attempting pregnancy conceived.

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Abstract

Pelvic endometriosis is a common cause of infertility, being implicated in as many as 30% of women who are unable to conceive. When the disease is more severe than Stage I (American Fertility Society Classification for mild endometriosis), it is generally agreed that the best treatment is surgical rather than medical. Conservative surgery has achieved satisfactory pregnancy rates; however, conventional surgical techniques have limitations in patients with severe adhesions or with endometriosis in areas of poor accessibility. The intra-abdominal use of CO2 laser can offer precision vaporization, bloodless field, and accessibility to poorly visible areas. The CO2 laser was used to treat 71 patients with infertility classified as Stage II, III or IV pelvic endometriosis by the American Fertility Society. Forty-two of the 71 patients (59.2%) attempting pregnancy have conceived at the time of this report. The breakdown for these pregnancies are 63.3% for those with Stage II, 52.9% for those with Stage III, and 40.0% for those with Stage IV. The observed pregnancy success rate is promising with the use of this new modality of surgical management for this common condition affecting infertile women.

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Condition tags

endometriosisinfertility

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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