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

OBJECTIVE: To assess the effectiveness of laparoscopy versus laparotomy in the treatment of endometriomata. DESIGN: Controlled study using data prospectively tabulated. SETTING: Treatment performed by senior author in a referral reproductive endocrinology and surgery private practice. PATIENTS: One hundred infertile women were diagnosed with endometriomata. INTERVENTION: Forty-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 MEASURE: The 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. RESULTS: The 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. CONCLUSIONS: Laparoscopy 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 Laparotomy Lasers Lasers Adult Adult Carbon Dioxide Carbon Dioxide Cohort Studies Cohort Studies Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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Cited by (50)

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