Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata

G D Adamson, Adamson GD, G. David Adamson, L L Subak, Leslee L. Subak, Subak LL, David J. Pasta, Pasta DJ, D J Pasta, Stacy J. Hurd, Hurd SJ, S J Hurd, von Franque O, Otto von Franqué, O von Franque, Rodriguez BD, Bruce D. Rodriguez, B D Rodriguez
Fertility and Sterility · 1992 · vol. 57(5) , pp. 965–973 · doi:10.1016/s0015-0282(16)55010-9 · PMID:1533375 · W2409075866
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This paper compares CO2 laser laparoscopy and laparotomy for the treatment of endometriomata.

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Abstract

ObjectiveTo assess the effectiveness of laparoscopy versus laparotomy in the treatment of endometriomata.DesignControlled study using data prospectively tabulated.SettingTreatment performed by senior author in a referral reproductive endocrinology and surgery private practice.PatientsOne hundred infertile women were diagnosed with endometriomata.InterventionForty-eight women were treated with CO2 laser laparoscopy (laparoscopy group) and 52 women were treated with CO2 laser or nonlaser laparotomy (laparotomy group).Main outcome measureThe hypothesis that laparoscopy group pregnancy rates (PRs) would be equal to or greater than laparotomy group was formulated before data analysis but after data tabulation.ResultsThe 1 and 3-year life table estimated cumulative PRs +/- SE were 0.30 +/- 0.07 and 0.52 +/- 0.09 for laparoscopy group and 0.23 +/- 0.06 and 0.46 +/- 0.09 for laparotomy group (Breslow P = 0.48). Monthly fecundity over 3 years was 2.4% for laparoscopy group and 2.0% for laparotomy group.ConclusionsLaparoscopy with CO2 laser can be a safe and effective modality for treating endometriomata.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparotomy Lasers Adult Carbon Dioxide Cohort Studies Endometriosis Female Humans Laparoscopy Life Tables Middle Aged Postoperative Period Pregnancy Survival Analysis

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