Laser laparoscopy in the treatment of endometriosis

During the past two decades we have witnessed considerable technical progress in infertility surgery. Microsurgical techniques introduced new concepts in surgical operations and engendered a respect for the delicate reproductive structures. The main aim of these procedures was to reduce the incidence of tubal and ovarian adhesions by careful tissue handling, the avoidance of surface desiccation and meticulous haemostasis1,2. Recent research has suggested that a reduction in peritoneal mesothelial plasminogen activator activity (PAA) in the presence of trauma, infection or tissue ischaemia is the likely pathway in postsurgical adhesion formation3,4,5. Any surgical insult is associated with trauma but the biological interaction between lasers and living tissue minimizes this. Infection is less likely with laparoscopy than laparotomy and the ischaemia produced by surgical knots is avoided by the use of lasers. The advent of operative laparoscopic techniques has replaced the need for open surgery in many patients6. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

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Baillière’s Clinical Obstetrics and Gynaecology, Vol. 3, No. 3, pp. 655–681 Editor information Editors and Affiliations Rights and permissions Copyright information © 1991 Springer Science+Business Media Dordrecht About this chapter Cite this chapter Sutton, C.J.G. (1991). Laser laparoscopy in the treatment of endometriosis. In: Thomas, E.J., Rock, J.A. (eds) Modern Approaches to Endometriosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3864-2_11 Download citation DOI: https://doi.org/10.1007/978-94-011-3864-2_11 Publisher Name: Springer, Dordrecht Print ISBN: 978-94-010-5719-6 Online ISBN: 978-94-011-3864-2 eBook Packages: Springer Book Archive

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