Laser Laparoscopy Versus Laparotomy in the Treatment of Infertility Patients with Severe Endometriosis

A P Chong, Augusto P. Chong, A Luciano, Anthony A. Luciano, A M O'Shaughnessy, A. O'Shaughnessy
Journal of gynecologic surgery · 1990 · vol. 6(3) , pp. 179–183 · doi:10.1089/gyn.1990.6.179 · PMID:10150018 · W2040900396
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study compared laparoscopy and laparotomy for severe endometriosis and found similar pregnancy rates, with laparoscopy offering faster recovery and shorter hospital stays.

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Abstract

The best pregnancy rates reported in the literature for infertility patients with severe pelvic endometriosis (stage IV) have been attributed to surgical management. In the last few years, improved endoscopic instruments have allowed gynecologists to treat difficult conditions with the CO 2 laser via laparoscopy, with good results. To assess the usefulness of the CO 2 laser via laparoscopy in treating severe pelvic endometriosis, two groups of patients were studied. Thirteen patients were treated by laparotomy (group I) and 11 patients by laparoscopy (group II). Seven achieved pregnancy in group I (53.8%), and pregnancy occurred in 6 patients in group II (54.5%). This study suggests that the management of severe pelvic endometriosis in infertility patients via laparoscopy seems to yield similar pregnancy rates to those treated with laparotomy, with the advantages of faster recovery and fewer hospitalization days for those undergoing laparoscopic surgery.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Laser Therapy Pelvic Neoplasms Adult Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Infertility, Female Laparoscopy Laparotomy Laser Therapy Pelvic Neoplasms Pelvic Neoplasms Pregnancy

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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 (9)

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License: CC0 · commercial use OK