CO2 Laser Laparoscopy in Infertile Women with Adnexal Adhesions and in Women with Tubal Occlusions

Jacques Donnez, M. Nisolle, F. Casanas‐Roux
In: Lasers in Gynecology · 1992 · pp. 77–81 · doi:10.1007/978-3-642-45683-1_10 · W4244305662
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This paper details various CO2 laser laparoscopy procedures including pelvic adhesiolysis and salpingolysis/ovariolysis for infertile women with adnexal adhesions.

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This paper describes the use of CO2 laser laparoscopy in gynecologic surgical settings, particularly in infertile women with adnexal adhesions and in women with tubal occlusions. It outlines multiple operative applications of the laser laparoscope, including vaporization of peritoneal and ovarian endometriosis, adhesiolysis and salpingolysis/ovariolysis, uterosacral ligament ablation, and tubal procedures such as fimbrioplasty/salpingostomy and salpingotomy for tubal pregnancy. The provided text does not report new patient outcomes or specific study methods/results, and instead reads as a procedural overview with cited prior experience as background. Relevance to endometriosis: the paper specifically lists vaporization of peritoneal and ovarian endometriosis as a key application of CO2 laser laparoscopy, though its stated title scope is broader infertility-related adnexal adhesions and tubal occlusions.

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Abstract

Several procedures have been carried out with the CO2 laser laparoscope [1–4,7,8,10–12]. The most frequent include: (a) Vaporization of peritoneal and ovarian endometriosis; (b) pelvic adhesiolysis, salpingolysis, and ovariolysis; (c) uterosacral ligament ablation; (d) fimbrioplasty and salpingostomy; (e) salpingotomy in case of tubal pregnancy; (f) vaporization of small uterine fibroids. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Baggish MS, El Bakry MM (1986) A flexible CO2 laser fiber for operative laparo-scopy. Fertil Steril 46:16. Bruhat M, Mage G, Manhes M (1979) Use of the CO2 laser in laparoscopy. In: Kaplan I (ed) Proceedings of the Third International Symposium on Laser Surgery. Sept 24-28, 1979. O. T. Paz, Tel-Aviv, pp 235-238. Daniell JF, Brown DH (1982) Carbon dioxide laser laparoscopy: initial experience in experimental animals and humans. Obstet Gynecol 59:761. Daniell JF, Feste JR (1985) Laser laparoscopy. In: Keye WR Jr (ed) Laser surgery in gynecology and obstetrics. G. K. Hall, Boston, pp 147–163. Donnez J (1984) La trompe de Fallope: histophysiologie normale et pathologique. Nauwelaerts, Leuven, p 105. Donnez J (1985) Microchirurgie et fécondation in vitro: méthodes concurrentes ou complémentaires? Rev Med Brux 6:627. Donnez J (1987 a) CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions. Fertil Steril 48:390. Donnez J (1987 b) CO2 laser in intraepithelial neoplasia and in infertility. Nauwelaerts, Leuven. Donnez J, Casanas-Roux F (1986) Prognostic factors of fimbrial microsurgery. Fertil Steril 46:200. Donnez J, Fernandez C, Willems T, Casanas-Roux F (1987) Experimental ovarian CO2 laser surgery. In: Donnez J (ed) CO2 laser in intraepithelial neoplasia and in infertility. Nauwelaerts, Leuven, p 25. Kelly RW, Roberts DK (1983) Experience with the CO2 laser in gynecologic microsurgery. Am J Obstet Gynecol 146:585. Nezhat C, Crowgey SR, Garrison CP (1986) Surgical treatment of endometriosis via laser laparoscopy. Fertil Steril 45:778. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 1992 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Donnez, J., Nisolle, M., Casanas-Roux, F. (1992). CO2 Laser Laparoscopy in Infertile Women with Adnexal Adhesions and in Women with Tubal Occlusions. In: Bastert, G., Wallwiener, D. (eds) Lasers in Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45683-1_10 Download citation DOI: https://doi.org/10.1007/978-3-642-45683-1_10 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-45685-5 Online ISBN: 978-3-642-45683-1 eBook Packages: Springer Book Archive

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