Laser techniques in gynaecology.
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CO2 lasers are favored in gynecological surgery for endometriosis and adhesions, with fiber lasers offering combined effects but facing adoption hurdles due to technical issues and cost.
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Abstract
Lasers have been in use for 15 years in laparoscopic surgery. The CO2-laser in particular has become very popular in the field of gynaecology for the treatment of endometriosis and adhesions. Results achieved with the CO2-laser seem to be superior to those of conventional instruments, although only a small number of randomised prospective studies exist. Fibre lasers, such as the Nd:YAG-, KTP, and Argon-lasers combine vaporisation- and/or coagulation-effects within the same operating instrument. Time-consuming changes of instruments during the procedure are unnecessary. Nevertheless, technical problems and high costs of these laser systems on the one hand, and unfulfilled and unrealistic expectations by physicians and patients alike on the other hand hinder wide-spread use of this technique.
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Cited by (4)
- Is there a critical endometrioma size associated with reduced ovarian responsiveness in assisted reproduction techniques? 2014
- Review on endometriosis surgery 2021
- Use of the potassium titanyl phosphate laser in the laparoscopic anterior rectum slicing operation 2005
- Gynecologic Laser Application in Switzerland 2003
Cited by (4)
- Review on endometriosis surgery 2021
- Is there a critical endometrioma size associated with reduced ovarian responsiveness in assisted reproduction techniques? 2014
- Use of the potassium titanyl phosphate laser in the laparoscopic anterior rectum slicing operation 2005
- Gynecologic Laser Application in Switzerland 2003
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- openalex
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- pubmed
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