The Role of Laser Laparoscopy in the Treatment of Gynecological Diseases

Recent advances in laparoscopic surgery has enabled the gynecological surgeon to treat an increased number of diseases of the reproductive organ, which include endometriosis, tubal factor, ectopic pregnancy, ovarian cyst, myoma and pelvic inflammatory disease. The advantages of laparoscopic treatment include a decrease in patient morbidity, reduction in length of hospital stay and costs, as well as the opportunity to treat at the time of diagnosis, and potentially a reduction in postoperative adhesion formation with an increased pregnancy rate. Many doctors are under impression that surgical laser offers a new and improved form of treatment with a marked increase in the success rate over the other modalities such as electrocautery and endocoagulation. However, there is no evidence that surgical laser in more successful than conventional electrosurgery in affecting the pregnancy rate of tubal factor infertility and endometriosis associated infertility. The role of laser still remains to be evaluated in the laparoscopic treatment of gynecological diseases.