Manejo quirúrgico conservador de la endometriosis con láser de CO2 vs. manejo quirúrgico con videolaparoscopia láser de CO2

Jaime Saavedra, Fernando del Corral, Saulo Muñoz, Carlos Alberto Salcedo
In: Colombia Medica · 1990 · vol. 21(3) , pp. 94–100 · doi:10.25100/cm.v21i3.6306 · W4401771401
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Conservative CO2 laser surgery and videolaparoscopic CO2 laser surgery for endometriosis showed similar effectiveness in terms of pregnancy rates and improvement of dysmenorrhea.

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This article reports on 122 patients with endometriosis managed conservatively using CO2 laser either in open surgery (44 patients, moderate to extensive disease) or via CO2 laser videolaparoscopy with video-camera augmentation (78 patients, mild to extensive disease). Within 5–6 months after surgery, pregnancy occurred in 53.1% of the open-surgery group and 42.8% of the videolaparoscopy group, while pelvic pain was relieved in 92.2% (35/38) versus 88.8% (48/54) of those who reported pain. The authors report statistical analysis showing both procedures as equally efficacious. This paper is centrally about endometriosis — it compares conservative CO2 laser surgery versus CO2 laser videolaparoscopy for treatment outcomes in endometriosis patients.

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Abstract

Entre mujeres que sufrían endometriosis se operaron 122 así: 44 con cirugía conservadora y láser de CO2, en quienes la severidad de la enfermedad iba de moderada a extensa y 78 con videolaparoscopia láser de CO2 cuyas lesiones variaban de mínimas a extensas. En el primer grupo se embarazaron 23 (53.1%) y en el segundo 35 (42.8%). El tiempo promedio de embarazo post cirugía osciló entre 5 y 6 meses, respectivamente; 38 señoras del primer grupo y 54 del segundo se quejaban de dismenorrea; se observó una franca mejoría después de la intervención en 35 (92.2%) y 48 (88.8%) casos, respectivamente. El estudio estadístico para los dos procedimientos demostró que ambos tienen una efectividad igual en el manejo de la endometriosis.
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Conservative surgical management of endometriosis with CO2 laser vs. surgical management with CO2 laser videolaparoscopy Keywords: Endometriosis, Láser de CO2, Laparoscopia operatoria, LaparotomíaMain Article Content Recent advances in infertility surgery have allowed gynecological surgeons to treat an increasing number of diseases of reproductive organs by using lasers in open surgery or employing the laparoscope. This article reviews the cases of 122 endometriosis patients, 44 of whom (with disease severity ranging from moderate to extensive) were treated with conservative surgery and the CO2 laser, and 78 of whom (with disease severity ranging from mild to extensive) were treated using the CO2 laparoscope with video camera augmentation (video-laser copy). Twenty-three (53.1%) women in the first group and 35 (42.8%) in the second group became pregnant within 5-6 months of surgery. Of the first group, 38 patients and 54 of the second group had complained of pelvic pain, which was relieved after surgery in 35 (92.2%) and 48 (88.8%) cases, respectively. Statistical analysis demonstrated that both procedures were equally efficacious in treating endometriosis. Downloads This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use

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endometriosis

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