New instrumentation and technique for laparoscopic carbon dioxide laser operations: a preliminary report.

Yona Tadir, Y Tadir, I Kaplan, Z Zuckerman, T Edelstein, J Ovadia, Jardena Ovadia
Obstetrics and gynecology · 1984 · vol. 63(4) , pp. 582–5 · PMID:6230550 · W2396983595
article OA: closed CC0 ⤵ 23 in-corpus citations
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This report describes modified laparoscopic surgery techniques using a carbon dioxide laser and specialized channels, finding it useful for procedures like endometriosis treatment and pelvic adhesion lysis in preliminary human trials.

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Abstract

Laparoscopic surgery, the accepted procedure for several indications, still has some limitations, mainly due to the risk of uncontrollable bleeding and damage to the surrounding tissues that may result from the procedure. With the advent of the surgical carbon dioxide laser apparatus and its advantage in producing a bloodless incision, the authors have modified their approach toward laparoscopic surgery. A variety of special straight laser channels for introduction into the abdominal cavity have been developed; use of these channels requires special care to protect surrounding tissues from damage during the procedure. A Sharplan laser delivery system comprising an articulated arm was used, and the operative area visualized and controlled by single- and double-puncture laparoscope systems. The techniques were first applied in rabbits and, after several improvements, used in humans for various indications. The laser laparoscope can be particularly useful in the treatment of endometriosis and lysis of pelvic adhesions.

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Condition tags

endometriosis

MeSH descriptors

Genital Diseases, Female Laser Therapy Microsurgery Carbon Dioxide Endometriosis Endometriosis Female Genital Diseases, Female Humans Laparoscopy Microsurgery Microsurgery Sterilization, Tubal Sterilization, Tubal Sterilization, Tubal Tissue Adhesions Tissue Adhesions

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Cited by (23)

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