Electrocoagulation of pelvic endometriotic lesions with laparoscopic control
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This paper describes the laparoscopic application of electrocoagulation to treat pelvic endometriotic lesions.
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Abstract
Twenty-eight patients presenting with initial complaints of infertility or chronic pelvic pain were found to have pelvic endometriosis at laparoscopy. Destruction of the endometriotic lesions by means of electrocoagulation was performed via laparoscopy in a group of 19 patients. The remaining nine patients did not undergo such management. In the treatment group, seven of the 11 patients with chronic pain experienced complete relief of their symptoms, and six of the eight patients with infertility became pregnant postoperatively. Patients in the control group had a less favorable outcome. Only one of five patients with chronic pain had relief and one of four patients with infertility became pregnant following laparoscopy without cauterization. Electrocoagulation of pelvic endometriotic lesions under laparoscopic control appears to be satisfactory for the management of selected patients with chronic pelvic pain or infertility.
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Cited by (43)
- Management of Infertility in Endometriosis by Operative Laparoscopy and Medical Therapy—Practiced at 3 Different Centres, from September 2005 to October 2007 2019
- To Excise or Ablate Endometriosis: A Discussion About Terminology and Study Design 2014
- To Excise or Ablate Endometriosis? A Prospective Randomized Double-Blinded Trial After 5-Year Follow-Up 2014
- Excisional versus ablative surgery for peritoneal endometriosis 2011
- Excisional versus ablative surgery for peritoneal endometriosis 2011
- Coagulation versus excision of primary superficial endometriosis: a 2-year follow-up 2010
- Reoperation for Endometriosis and Ovarian Remnants 2009
- Teenagers, adolescents, endometriosis and recurrence: a retrospective analysis of recurrence following primary operative laparoscopy 2008
- The treatment of mild endometriosis with laser laparoscopy: a two-step treatment analysis of patients whose primary therapy was successful. 2006
- A randomized trial of excision versus ablation for mild endometriosis 2005
- Laparoskopische Therapie der Endometriose 2005
- Documenting the Current Definitions of Chronic Pelvic Pain: Implications for Research 2004
- Management of endometriosis-associated infertility 2003
- The success of laser laparoscopy in the treatment of endometriosis: a two-step analysis. 2001
- Surgical treatment for chronic pelvic pain. 1999
- Treatment of infertility associated with endometriosis 1998
- Laparoscopic electrocoagulation followed by danazol in subfertile women with endometriosis 1996
- Endometriosis 1996
- Surgical Therapy of Endometriosis 1996
- The effectiveness of hysterectomy for chronic pelvic pain 1995
- Laparoscopic treatment of chronic pelvic pain in 100 adult women 1995
- Treatment of Endometriosis of the Cul-de-Sac 1995
- Pain recurrence: A quality of life issue in endometriosis 1995
- Recurrent Endometriosis 1995
- Gynecology 1995
- The History of Surgical Treatment of Endometriosis 1995
- Combined hysteroscopic and laparoscopic findings in patients with chronic pelvic pain 1994
- Endometriose 1992
- Comparison of three modes of treatment for infertility patients with minimal pelvic endometriosis 1990
- LAPAROSCOPIC TREATMENT OF ENDOMETRIOSIS 1989
- Laparoscopic Treatment of Endometriosis 1989
- Comparison of different modalities of treatment for minimal and mild endometriosis 1988
- Argon laser therapy of endometriosis: a review of 92 consecutive patients 1987
- Pelvic Endometriosis 1987
- Surgical treatment of endometriosis via laser laparoscopy 1986
- Laparoscopic cauterization of endometriosis for fertility: a controlled study 1986
- Endometriosis 1986
- Combined laparoscopic surgery and danazol therapy for pelvic endometriosis 1985
- Pregnancy rates following various therapy modes for endometriosis in infertile patients 1984
- Hormonal and Surgical Management of Pelvic Endometriosis 1982
- Combined laparoscopic surgery and danazol therapy for pelvic endometriosis 1981
- Endometriosis—continuing conundrum 1980
- Endometriosis--continuing conundrum. 1980
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