Treatment of benign gynecological diseases with Nd-YAG laser

Katsuko FURUKAWA, K. Iwanaga, Takafumi Izumi, Noriyuki Kyushima, T Genda
In: THE JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE · 1996 · vol. 17(Supplement) , pp. 353–356 · doi:10.2530/jslsm1980.17.supplement_353 · W2319980028
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Nd-YAG laser treatment for benign gynecological diseases, including two cases of pelvic endometriosis, demonstrated minimal blood loss and complications, with high primary cure rates and only one endometriosis recurrence after one year.

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This 1996 clinical study evaluated the efficacy of Nd-YAG laser treatment for various benign gynecological conditions, including cervical erosion, polyps, cysts, and condyloma. The researchers operated on twenty-seven patients under local or general anesthesia, observing minimal blood loss and a short epithelial repair period of three to six weeks across all cases. Primary cure rates were high for most treated lesions, although one patient with pelvic endometriosis experienced recurrence after one year, highlighting a limitation in long-term durability for that specific condition. Relevance to endometriosis: listed as one indication for Nd-YAG laser treatment, though the paper's main focus is on a broad range of benign gynecological diseases rather than exclusively on endometriosis.

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Abstract

Clinical study with Nd-YAG laser of benign gynecological diseases was performed. Seventeen cases with portio erosion, one case with cervical polyp,polyp from portio vaginalis, cervical myoma, myoma delivery. Eighteen cases with Bartholinian cyst seven cases with condyloma acuminata two cases with pelvic endometoriosis one case with polycystic ovary and one case with ectopic pregnancy were operated under local anesthesia or general anesthesia.In all cases the volume of blood loss was minimum. Period to achieve epithelial repair was 3 to 6 weeks. Complications during and post operation were minimal. The primary cure rates of portio erosion, Bartholinian cyst, condyloma acuminata, cervical polyp and myoma was 70.6%, 100%, 85.7%, 100%respectively. One case of pelvic endometriosis recurrenced after one year from operation. Ovulation was recognized early after procedure in case of polycystic ovary, Nd-YAG laser is considered to be an excellent laser source for the traetment of benign gynecological diseases.
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婦人科領域における良性病変のYAGレーザーによる治療 1996 年 17 巻 Supplement 号 p. 353-356 詳細 抄録 Clinical study with Nd-YAG laser of benign gynecological diseases was performed. Seventeen cases with portio erosion, one case with cervical polyp,polyp from portio vaginalis, cervical myoma, myoma delivery. Eighteen cases with Bartholinian cyst seven cases with condyloma acuminata two cases with pelvic endometoriosis one case with polycystic ovary and one case with ectopic pregnancy were operated under local anesthesia or general anesthesia.In all cases the volume of blood loss was minimum. Period to achieve epithelial repair was 3 to 6 weeks. Complications during and post operation were minimal. The primary cure rates of portio erosion, Bartholinian cyst, condyloma acuminata, cervical polyp and myoma was 70.6%, 100%, 85.7%, 100%respectively. One case of pelvic endometriosis recurrenced after one year from operation. Ovulation was recognized early after procedure in case of polycystic ovary, Nd-YAG laser is considered to be an excellent laser source for the traetment of benign gynecological diseases. © 特定非営利活動法人 日本レーザー医学会

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