Laser laparoscopic surgery in the treatment of ovarian endometriomas

Chris Sutton, C J Sutton, Sutton CJ, Simon P. Ewen, Ewen Sp, S P Ewen, S A Jacobs, Jacobs SA, Susan A. Jacobs, Whitelaw NL, Naomi L. Whitelaw, N L Whitelaw
The Journal of the American Association of Gynecologic Laparoscopists · 1997 · vol. 4(3) , pp. 319–323 · doi:10.1016/s1074-3804(05)80222-1 · PMID:9154780 · W1969156709
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This paper reports on the use of laser laparoscopic surgery for treating ovarian endometriomas.

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Abstract

Study objectiveTo assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two.DesignRetrospective review of all patients with endometriomas from June 1, 1983, to December 31, 1993.SettingDepartment of gynecology and obstetrics at a district general hospital and national training center in minimal access surgery.PatientsOne hundred sixty-five women with large endometriomas present at the time of laser laparoscopy.InterventionsCarbon dioxide laser or potassium-titanyl-phosphate laser laparoscopic surgery.Measurements and main resultsNinety (74%) of 122 patients reported improvement or resolution of pain; and 30 of 66 achieved a pregnancy, for a cumulative conception rate of 45%.ConclusionLaser laparoscopy is a practical, safe, and effective technique for the management of large ovarian endometriomas.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Laparoscopy Laser Therapy Ovarian Diseases Adult Case-Control Studies Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Middle Aged Ovarian Diseases Ovarian Diseases Pelvic Pain Pelvic Pain Pregnancy Retrospective Studies Treatment Outcome

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License: CC0 · commercial use OK