Laparoscopic Laser Surgery for Endometriosis — Eight Years’ Experience

In: Lasers in Gynecology · 1992 · pp. 147–148 · doi:10.1007/978-3-642-45683-1_20 · W110130806
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This paper describes the initial eight years of laparoscopic laser surgery for endometriosis, inspired by its minimally scarring healing observed in cervical laser treatments.

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This chapter reviews an eight-year experience with laparoscopic laser surgery for endometriosis, initiated in 1982 based on observations that carbon dioxide lasers produced superior healing without the scarring associated with electrodiathermy. The author argues that the precision of laser ablation makes it an ideal surgical modality for patients where preserving fertility is a primary concern. The text highlights the advantages of reduced anatomical distortion and rapid recovery compared to traditional excision methods. This paper is centrally about endometriosis — specifically the application and outcomes of laparoscopic carbon dioxide laser surgery for treating the disease.

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Abstract

Laparoscopic laser surgery was first performed in the United Kingdom at St. Luke’s Hospital in Guildford in October 1982. The initial idea was inspired by observations on cervical healing following colposcopic treatment of cervical intraepithelial neoplasia (CIN) with the carbon dioxide laser. Since most of the cell debris was removed as smoke in the laser plume, healing occurred with no contracture or anatomical distortion, and 6 weeks later healing was usually so perfect that even with the magnification provided by the colposcope it was difficult to see the site of the original laser surgery. This was in marked contradistinction to the scarring and fibrosis caused by electrodiathermy and cold-knife cone biopsy. For these reasons it was felt that the laser would be the ideal surgical modality to use endoscopically, especially when fertility was a prime consideration. Similar content being viewed by others

References

Daniell JF (1989) Fibreoptic laser laparo-scopy. In: Sutton CJG (ed) Bailliere’s clinical obstetrics and gynaecology, vol 3. pp 545–562. Olive DL, Haney AF (1986) Endometrio-sis-associated infertility: a critical review of therapeutic approaches. Obstet Gynecol Surv 41: 538–555 Seibel MM, Berber MJ, Weinstein FG, Taylor ML (1982) The effectiveness of danazol on subsequent fertility in minimal endometriosis. Fertil Steril 38:534–537 Sutton CJG (1989) Laser uterine nerve ablation. In: Donnez J (ed) Laser operative laparoscopy and hysteroscopy. Nauwe-laerts, Leuven, pp 43–52. Sutton CJG (1989) Carbon dioxide laser laparoscopy in the treatment of endometriosis. In: Sutton CJG (ed) Bailliere’s clinical obstetrics and gynaecology, vol 3. pp 499–523 Sutton CJG, Hill D (1990) Laser laparoscopy in the treatment of endometriosis. A 5-year study. Br J Obstet Gynaecol 97:181–185. Wilson EA (1988) Surgical therapy for endometriosis. Clin Obstet Gynecol 31:857–865. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 1992 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Sutton, C. (1992). Laparoscopic Laser Surgery for Endometriosis — Eight Years’ Experience. In: Bastert, G., Wallwiener, D. (eds) Lasers in Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45683-1_20 Download citation DOI: https://doi.org/10.1007/978-3-642-45683-1_20 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-45685-5 Online ISBN: 978-3-642-45683-1 eBook Packages: Springer Book Archive

Keywords

- Cervical Intraepithelial Neoplasia - Carbon Dioxide Laser - Primary Dysmenorrhoea - American Fertility Society - Advance Laparoscopic Procedure These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Condition tags

endometriosis

Citation neighborhood

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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