CO2 laser laparoscopy for endometriosis associated with infertility.
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CO2 laser laparoscopy was used to excise or ablate endometriosis in 115 infertile women, resulting in a 48% pregnancy rate over 12-44 months of follow-up.
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Abstract
Medical, surgical and combined therapy have been used in the treatment of infertility associated with endometriosis. The CO2 laser offers the advantage of precise excisional surgery at the initial laparoscopy and potentially avoids further surgery and medication. In 115 women in whom initial or follow-up laparoscopy revealed the presence of endometriosis, the CO2 laser was used to excise or ablate the endometriotic lesions. Fifty-five (48%) of the patients became pregnant, with 12-44 months of follow-up. These 55 patients have had 61 pregnancies. Forty-two (69%) were term, 7 (11%) are ongoing, 11 (28%) aborted, and 1 (2%) was ectopic. Twenty-three (68%) of 34 patients with endometriosis as the only infertility factor had 28 pregnancies. Thirty-two (40%) of the 81 patients with endometriosis associated with other infertility factors produced 33 pregnancies.
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Cited by (22)
- Grundlagen und Bedeutung der operativen Endometriosetherapie 2009
- Retrocervical, Rectovaginal Pouch, and Rectovaginal Septum Endometriosis 2001
- Follow-up of laparoscopic treatment of stage III–IV endometriosis 1999
- Laparoscopic Treatment of Endometriosis 1997
- Laparoscopy versus microsurgery by laparotomy for excision of ovarian cysts in patients with moderate or severe endometriosis 1996
- Endometriosis: An Enigmatic Disease 1996
- Rationale for Surgical Treatment of Endometriosis 1995
- Treatment of Infertility Associated With Endometriosis 1995
- The History of Surgical Treatment of Endometriosis 1995
- Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata 1992
- Laser laparoscopic management of large endometriomas 1992
- Advantages of Laser Application in Gynecological Endoscopy 1992
- KTP/532 laser laparoscopy in the treatment of endometriosis-associated infertility. 1992
- KTP/532 laser laparoscopy in the treatment of endometriosis-associated infertility 1992
- Carbon Dioxide Laser Laparoscopy for Endometriosis 1991
- Presentday endoscopic surgery in gynecology 1991
- Laser laparoscopic management of large endometriomas 1991
- Argon Laser Laparoscopy for Treatment of Pelvic Endometriosis Associated with Infertility and Pelvic Pain 1991
- Laparoscopic laser treatment of endometriosis with the Nd: YAG sapphire probe 1989
- Laser Laparoscopy for Infertility Surgery 1989
- 3 CO2 laser laparoscopy 1989
- Laparoscopic Treatment of Endometriosis 1989
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