6 Fibreoptic laser laparoscopy
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This paper describes the use of fibreoptic laser laparoscopy, a minimally invasive surgical technique, for diagnostic and therapeutic purposes.
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Abstract
Many gynaecologist are now doing more aggressive operative laparoscopic surgery. We feel that procedures which in the past required open laparotomy to be successfully performed, can now be done with fibreoptic laser energy. This chapter reviews our experiences with argon, KTP and Nd-YAG lasers for advanced laparoscopic surgery. We feel that these fibreoptic lasers allow us to obtain good results with less risk, shortened operating room time and with reduced difficulty during surgery. In this time of concern for cost containment in medicine, it seems reasonable for interested physicians to reduce costs without cutting corners or compromising patient care. Careful, intelligent, selective use of fibreoptic lasers as well as non-laser laparoscopic techniques in gynaecology may help in cost containment by allowing compatible results while avoiding major surgery with its concomitant expense, increased risks, morbidity and discomfort for patients. All forward-thinking gynaecologists should investigate the potential for fibreoptic laparoscopic laser surgery in their practices.
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References (24)
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Cited by (21)
- Medical, surgical and alternative treatments for chronic pelvic pain in women: a descriptive review 2009
- The Role of Laparoscopic Uterine Nerve Ablation(LUNA) and Presacral Neurectomy (PSN) of PelvicPain Management 2008
- The Role of Laparoscopic Uterine Nerve Ablation (LUNA) and Presacral Neurectomy (PSN) of Pelvic Pain Management 2008
- Chronic pelvic pain : prevalence, risk factors and laparoscopic uterosacral nerve ablation. 2006
- The treatment of mild endometriosis with laser laparoscopy: a two-step treatment analysis of patients whose primary therapy was successful. 2006
- Laparoscopic uterosacral nerve ablation (LUNA) 2002
- Medical and Surgical Therapies for Pain Associated with Endometriosis 2001
- The success of laser laparoscopy in the treatment of endometriosis: a two-step analysis. 2001
- Addition of Laparoscopic Uterine Nerve Ablation to Laparoscopic Bipolar Coagulation of Uterine Vessels for Women with Uterine Myomas and Dysmenorrhea 2001
- Management of chronic pelvic pain 2000
- Surgical management of endometriosis 2000
- Combined Medical and Surgical Treatment of Women with Endometriosis 1999
- The evidence for the management of endometriosis 1998
- The role of laparoscopy in the management of pelvic pain in women of reproductive age 1997
- Endometriosis Update 1997
- Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study 1996
- Endoscopic surgery in gynecologic practice 1995
- The History of Surgical Treatment of Endometriosis 1995
- Laser Technology: Endometriosis and Tubal Surgery 1994
- Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis 1994
- Laser laparoscopy in the treatment of endometriosis 1991
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