Lasers

Surgical instrumentation and techniques undergo a process of continuous improvement as the scope and the goals of laparotomy and minimally invasive surgery expand. Perhaps this evolution is best exemplified in gynecology by the development of microsurgery, endoscopic surgery, electrosurgery, and laser surgery. Recognizing the importance of adhesion on the outcome of infertility surgery, the gynecologic surgeons developed more refined tools and techniques to minimize postoperative adhesion formation.1,2 Having learned that the major contributing factors to adhesion formation include tissue trauma, drying of serosal surfaces, excessive bleeding, and tissue reaction,3,4 reproductive surgeons developed the techniques of delicate tissue handling, constant irrigation, meticulous attention to hemostasis, and the use of fine instrumentation and less reactive suture material.1,2 These important microsurgical principles are applicable not only to infertility procedures but to all gynecologic operations, especially when fertility potential is of paramount importance.1 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

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