Laparoscopic Treatment of Endometriosis with Laser and Videocamera Augmentation (Videolaseroscopy)

Camran Nezhat, Wendy K. Winer, Farr Nezhat, Ceana Nezhat
In: Journal of Gynecologic Surgery · 1989 · vol. 5(2) , pp. 163–169 · doi:10.1089/gyn.1989.5.163 · W2008162940
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Videolaseroscopy treatment of endometriosis in 857 patients showed high pregnancy rates for infertility and significant pain reduction, offering surgical advantages and comparable patient outcomes.

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Abstract

Recent advances in laparoscopic surgery have enabled the gynecologic surgeon to treat an increased number of diseases of the reproductive organs by using the laser through the laparoscope. This article reviews the results of 857 patients with endometriosis who were treated using the CO2 laser laparoscopically with videocamera augmentation (videolaseroscopy). Of 201 infertility patients followed for at least 18 months, 132 (66%) achieved pregnancy. Of 270 patients with pelvic pain, 210 (77%) patients experienced no pain after 1 year. We conclude that when surgical management of endometriosisis is indicated, videolaseroscopy offers advantages over standard laser laparoscopy for the surgeon, including reduced back strain and increased magnification control. In addition, comparable, if not improved, results to the patients can be obtained through laser laparoscopy with video augmentation. (J GYNECOL SURG 5:163, 1989)

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endometriosisinfertility

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