Laser Surgery for Infertility: Past, Present and Future

In: Frontiers in Reproductive Endocrinology and Infertility · 1988 · pp. 43–50 · doi:10.1007/978-94-009-2625-7_3 · W939491904
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This review examines the past, present, and future of laser use in gynecology to aid clinicians in deciding on its application for infertility treatment.

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This chapter reviews the historical and evolving use of lasers in gynecology, focusing on their debated role in infertility practice and summarizing how laser surgeons vary in wavelength selection, delivery systems, and adjunctive therapies. It draws on prior reports and early clinical and experimental experiences, including laparoscopic CO2 laser approaches for fallopian tube reconstruction and multiple laser techniques for endometriosis, while emphasizing that the field has been divided and incomplete in consensus. A key limitation is that the chapter is a narrative overview aimed at clarifying practice decisions rather than presenting new, systematically analyzed infertility outcomes. Relevance to endometriosis: the chapter cites multiple studies of laser laparoscopic surgery for endometriosis (including CO2 and argon laser approaches, and studies linking laser treatment with infertility and prior medical therapy), though the paper’s main focus is a broad review of laser surgery in infertility rather than a single endometriosis mechanism or trial.

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Abstract

In spite of the fact that lasers have been used in gynecology for nearly a decade, there is still an active debate over their role and value. At present even laser surgeons are divided in their choice of wavelengths, delivery system, and adjunctive therapy. Consequently, gynecologists without laser experience are often confused and undecided about the value of the laser in their own practice. A review of the past, present, and future of lasers in gynaecology may assist the clinical gynecologist in deciding whether or not to learn about the use of lasers in his or her infertility practice. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Bellina JH. Gynecology and the laser. Contemp Obstet Gynecol 1974; 4:24 Bellina JH. Reconstructive microsurgery of the fallopian tube with the carbon dioxide laser. Reproduction 1981; 5:1 Baggish MS, Chong AP. Carbon dioxide laser surgery of the uterine tube. Obstet Gynecol 1981; 58:111 Bruhat M, Mage C, Manhes M. Use of the CO2 laser via laparoscope. In Kaplan I(ed): Leaser surgery III, Proceedings of the Third International Society for laser Surgery, Tel Aviv, International Society for Laser Surgery, 1979, 275 Tadir Y, Kaplan I, Zuckcrman Z, et al. New instrumentation and technique for laparoscopic carbon dioxide laser operations: a preliminary report. Obstet gynecol 1984; 63:582 Danieli JF, Brown DH. Carbon dioxide laser laparoscopy: inital experience in experimental animals and humans. Obstet Gynecol 1982; 159:761 Danieli JF, Pittaway DE. Use of the CO2 laser in laparoscopic surgery: initial experience with the second puncture technique. Infertility 1982; 5:158. Kelly RW, Oberts DK. CO2 laser laparoscopy: A potential alternative to danazol in the treatment of stage 1 and II endometriosis. J Reprod Med 1983; 28:638 Martin DC. Interval use of the laser laparoscope for endometriosis following danazol therapy. Fertil Steril 1984; 41:735 Feste JR. Laaser laparoscope a new modality. Fertil Steril 1984; 41:745 Martin DC. CO2 laser laparoscopy for the treatment of endometriosis associated with infertility. J Reprod Med 1985; 30:409 Nezhat C, Towgey SR, Garrison CP. Surgical treatment of endometriosis via laser laparoscope. Proceedings of the Annual Meeting of the American Fertility Society. Chicago, Illinois, 1985 (Abstract) Feste JR. CO2 laser neurectomy for dysmenorrhea. Laser Surg Med 1984; 3:27 Keye WR, Dixon J. Photocoagulation of endometriosis by the argon laser through the laparoscope. Obstet Gynecol 1983; 62:383 Keye WR, Jr, Hansen LW, Astin M, Poulson AM, Jr. Argon laser therapy of endometriosis: a review of 92 consecutive patients. Fertil Steril 1987; 47:208 Lamano JM. Photocoagulation of endometriosis by the argon laser through the laparoscope. Obstet Gynecol 1983; 62:383 Keye WR, Petrucco M, Fowler S. Initial experience with the delivery of the Nd:YAG laser through a sapphire probe. Unpublished data, personal communication. Goldrath M, Fuller T, Segal S. Laser phogocoagulation of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol 1981; 140:14 Danieli JF, Meisels S, Miller W, Tosh R. Laparoscopic use of the KTP/532 laser in non-endometriotic pelvic surgery. Colpos and Gynecol 1986; 2:107 Danieli JF, Miller W, Tosh R. Initial evaluation of the use of the KTP/532 laser in gynecologic laparoscopy Fertil Steril 1986; 46:373 Editor information Editors and Affiliations Rights and permissions Copyright information © 1988 Kluwer Academic Publishers About this chapter Cite this chapter Keye, W.R. (1988). Laser Surgery for Infertility: Past, Present and Future. In: Ng, C.S.A., Tan, SL., Tsakok, F.M.M., Chan, KH. (eds) Frontiers in Reproductive Endocrinology and Infertility. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2625-7_3 Download citation DOI: https://doi.org/10.1007/978-94-009-2625-7_3 Publisher Name: Springer, Dordrecht Print ISBN: 978-94-010-7684-5 Online ISBN: 978-94-009-2625-7 eBook Packages: Springer Book Archive

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