Laser laparoscopic surgery in the treatment of ovarian endometriomas
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This paper reports on the use of laser laparoscopic surgery for treating ovarian endometriomas.
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Abstract
STUDY OBJECTIVE: To assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two.
DESIGN: Retrospective review of all patients with endometriomas from June 1, 1983, to December 31, 1993.
SETTING: Department of gynecology and obstetrics at a district general hospital and national training center in minimal access surgery.
PATIENTS: One hundred sixty-five women with large endometriomas present at the time of laser laparoscopy.
INTERVENTIONS: Carbon dioxide laser or potassium-titanyl-phosphate laser laparoscopic surgery.
MEASUREMENTS AND MAIN RESULTS: Ninety (74%) of 122 patients reported improvement or resolution of pain; and 30 of 66 achieved a pregnancy, for a cumulative conception rate of 45%.
CONCLUSION: Laser laparoscopy is a practical, safe, and effective technique for the management of large ovarian endometriomas.
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