Nd:YAG laser laparoscopy for ovarian endometriomas.
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Nd:YAG laser laparoscopy with a sapphire probe treated ovarian endometriomas in 30 patients, leading to pregnancy in 6/16 and pain relief in 13/14 without complications.
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Abstract
Thirty patients with ovarian endometriomas were treated with Nd:YAG laser contact irradiation via laparoscopy. The indications for laparoscopy were infertility (16) and dysmenorrhea (14). The laparoscopic procedures undertaken so far at our clinic were aspiration of chocolate cysts, removal of ovarian endometriomas, adnexal adhesiolysis, uterine nerve ablation, coagulation of peritoneal endometriosis and irrigation. No complications occurred. After undergoing this procedure, 6 of 16 patients achieved pregnancy, and 13 of 14 obtained pain relief. The serum CA-125 levels were significantly decreased postoperatively. We confirmed that contact irradiation with a cone-shaped sapphire probe provides an adequate incision and lysis at low power levels and that this method is an effective treatment for ovarian endometriomas.
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Cited by (14)
- Local injection of various drugs for ovarian dermoid cysts at the time of laparoscopic ovarian cystectomy 2010
- Lasers in Gynaecology 2002
- Laparoscopic uterosacral nerve ablation (LUNA) 2002
- Laparoscopic management of ovarian cysts 2000
- Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview 1999
- Laparoscopic Ovarian and Parovarian Surgery 1997
- Surgical Therapy of Endometriosis 1996
- Safety Characteristics of the Conically Sculpted Nd:YAG Laser Fiber for Operative Laparoscopy 1994
- The role of lasers in the laparoscopic treatment of infertility and endometriosis 1993
- Laser laparoscopy—indications, techniques and results 1993
- Laser laparoscopic management of large endometriomas 1992
- Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata 1992
- The use of potassium-titanyl-phosphate laser for laparoscopic removal of ovarian endometrioma 1991
- Laser laparoscopic management of large endometriomas 1991
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