Carbon dioxide laser laparoscopy in treatment of infertility and disorders associated with pelvic pain.

L Weather, Weather L Jr
Journal of the National Medical Association · 1988 · vol. 80(2) , pp. 185–7 · PMID:2977189 · W116765440
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Carbon dioxide laser laparoscopy was used to treat 75 patients for infertility and pelvic pain, finding endometriosis and adhesions to be the most common conditions, and enabling treatment for various gynecological disorders.

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This study evaluated the efficacy of carbon dioxide laser laparoscopy in treating seventy-five patients presenting with infertility or pelvic pain between 1984 and 1985. The most frequent diagnostic finding was endometriosis, present in eighty-four percent of the cohort, followed by pelvic adhesions in thirty-five percent of cases. The authors concluded that this surgical technique effectively treated endometriosis and associated disorders, potentially preventing the need for future medical therapy or additional surgeries. This paper is centrally about endometriosis — specifically the laparoscopic treatment of lesions causing pelvic pain and infertility.

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Abstract

Seventy-five patients, from December 1984 to December 1985, received carbon dioxide (CO(2)) laser laparoscopy for infertility and pelvic pain. The chief complaint of 55 patients was pelvic pain, and for 20 patients, either primary or secondary infertility. The most common findings were endometriosis (84 percent) and pelvic adhesions (35 percent).This paper gives the incidence of multiple diagnostic findings and the use of CO(2) laser laparoscopy. The results indicate that with the availability of the CO(2) laser laparoscope a significant number of patients can be treated for endometriosis, pelvic adhesions, salpingitis, and other disorders, preventing the need for future surgical procedures or medical therapy.
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Abstract Seventy-five patients, from December 1984 to December 1985, received carbon dioxide (CO2) laser laparoscopy for infertility and pelvic pain. The chief complaint of 55 patients was pelvic pain, and for 20 patients, either primary or secondary infertility. The most common findings were endometriosis (84 percent) and pelvic adhesions (35 percent). This paper gives the incidence of multiple diagnostic findings and the use of CO2 laser laparoscopy. The results indicate that with the availability of the CO2 laser laparoscope a significant number of patients can be treated for endometriosis, pelvic adhesions, salpingitis, and other disorders, preventing the need for future surgical procedures or medical therapy. Full text PDFSelected References These references are in PubMed. This may not be the complete list of references from this article. - Beard R. W., Belsey E. M., Lieberman B. A., Wilkinson J. C. Pelvic pain in women. Am J Obstet Gynecol. 1977 Jul 1;128(5):566–570. doi: 10.1016/0002-9378(77)90043-6. [DOI] [PubMed] [Google Scholar] - Cunanan R. G., Jr, Courey N. G., Lippes J. Laparoscopic findings in patients with pelvic pain. Am J Obstet Gynecol. 1983 Jul 1;146(5):589–591. doi: 10.1016/0002-9378(83)90809-8. [DOI] [PubMed] [Google Scholar] - Daniell J. F., Brown D. H. Carbon dioxide laser laparoscopy: initial experience in experimental animals and humans. Obstet Gynecol. 1982 Jun;59(6):761–764. [PubMed] [Google Scholar] - Daniell J. F., Herbert C. M. A new second-puncture probe for CO2 laser laparoscopy. J Reprod Med. 1985 Feb;30(2):89–92. [PubMed] [Google Scholar] - Daniell J. F., Herbert C. M. Laparoscopic salpingostomy utilizing the CO2 laser. Fertil Steril. 1984 Apr;41(4):558–563. doi: 10.1016/s0015-0282(16)47777-0. [DOI] [PubMed] [Google Scholar] - Lundberg W. I., Wall J. E., Mathers J. E. Laparoscopy in evaluation of pelvic pain. Obstet Gynecol. 1973 Dec;42(6):872–876. [PubMed] [Google Scholar] - Portuondo J. A., Peña Irala J., Ibáez E., Echanojauregui A. D. Clinical selection of infertile patients for laparoscopy. Int J Fertil. 1984;29(4):234–238. [PubMed] [Google Scholar] - Starks G. C., Grimes E. M. Clinical significance of focal pelvic endometriosis. J Reprod Med. 1985 Jun;30(6):481–484. [PubMed] [Google Scholar] - Tadir Y., Kaplan I., Zuckerman Z., Edelstein T., Ovadia J. New instrumentation and technique for laparoscopic carbon dioxide laser operations: a preliminary report. Obstet Gynecol. 1984 Apr;63(4):582–585. [PubMed] [Google Scholar]

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Condition tags

endometriosisinfertility

MeSH descriptors

Genital Diseases, Female Infertility, Female Laser Therapy Pain Pelvis Adolescent Adult Endometriosis Endometriosis Female Genital Diseases, Female Genital Diseases, Female Humans Infertility, Female Laparoscopy Middle Aged Pain Tissue Adhesions Tissue Adhesions

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References (9)

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