Clinical assesment of laparoscopic surgery with laser onGynecologic field

Jun Inoue, Kazuyoshi Dobashi
In: THE JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE · 1996 · vol. 17(Supplement) , pp. 125–128 · doi:10.2530/jslsm1980.17.supplement_125 · W2330700016
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Laparoscopic laser surgery for gynecologic conditions showed good clinical effects for functional dysmenorrhea and postoperative adhesions, with a low recurrence rate for chocolate cysts.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The paper evaluates the clinical usefulness of laser therapy in laparoscopic gynecologic surgery compared with electrocautery, focusing on outcomes such as pain relief, adverse effects, and recurrence after ovarian cystectomy. Between January 1991 and May 1996, 80 patients with endometriosis, 59 with severe dysmenorrhea, and 35 with intra-abdominal adhesions after prior surgical management were selected, and 174 cases with laser treatment were assessed. Reported outcomes were 83% of functional dysmenorrhea cases in clinically good effect, 72.5% of postoperative adhesions in good effect, and 17.5% recurrence of “chocolate cyst.” The paper’s major limitation, as implied by its scope, is that the usefulness of laser remains incompletely clarified and the study emphasizes correlations and evaluated effects without fully establishing comparative efficacy beyond electrocautery. This paper is centrally about endometriosis — it includes endometriosis patients and reports recurrence of “chocolate cyst” after laparoscopic laser treatment.

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Abstract

As compared with electrocautery,the clinical usefulness of laser treatment is still completly unclear for laparoscopic surgery on gynecologic field. We investigated the correlation of clinical features,such as the degree of pain relief and adverse effects, recurrence reate after ovarian cystectomy with use of laser and/or electorocautery during laparoscopic management. From Jan. 1991 to May 1996, 80 endometriosis, 59 patiens with sever dysmenorrhea and 35 patiens with intra-abdomnal adhesion after anather surgical managements examined by laparoscope,were selected for this study. The surgical effect with laser treatment of 174 patiens could be evaluated: 83% case of functional dysmenorrhea were in clinically good effect, 72.5% of postoperative adhesion ingood effect and only 17.5% of chocolate cyst showed in recurrense of cyst. three results show that laparoscopic surgery with laser treatment are good surgical management for gynecologic fields.
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各種腹腔鏡下手術におけるレーザー療法の臨床的有用性の検討 1996 年 17 巻 Supplement 号 p. 125-128 詳細 抄録 As compared with electrocautery,the clinical usefulness of laser treatment is still completly unclear for laparoscopic surgery on gynecologic field. We investigated the correlation of clinical features,such as the degree of pain relief and adverse effects, recurrence reate after ovarian cystectomy with use of laser and/or electorocautery during laparoscopic management. From Jan. 1991 to May 1996, 80 endometriosis, 59 patiens with sever dysmenorrhea and 35 patiens with intra-abdomnal adhesion after anather surgical managements examined by laparoscope,were selected for this study. The surgical effect with laser treatment of 174 patiens could be evaluated: 83% case of functional dysmenorrhea were in clinically good effect, 72.5% of postoperative adhesion ingood effect and only 17.5% of chocolate cyst showed in recurrense of cyst. three results show that laparoscopic surgery with laser treatment are good surgical management for gynecologic fields. © 特定非営利活動法人 日本レーザー医学会

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endometriosisdysmenorrhea

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