Laser laparoscopy. A new modality.
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Laser laparoscopy was used in 202 patients, primarily for endometriosis, demonstrating precise control and leading to a 72% pregnancy rate in endometriosis patients after a year.
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Abstract
From 1981 to 1983 423 consecutive patients were scheduled for therapeutic or diagnostic laparoscopy; 202 of these patients were treated with laser laparoscopy. The majority of the patients treated had endometriosis. The prime advantage of laser procedures done via the operative laparoscope is precise control of the impact because the direction of the laser beam and the operators view coincide. Laser vaporization of the ligament at its attachment to the posterior portion of the cervix will destroy a significant number of sensory nerve fibers to the cervix and the lower uterine segment. In the 423 cases there were no serious complications. A 1-year follow-up of 29 patients who had endometriosis as the sole diagnosis and who had laser therapy revealed pregnancies in 72% of these patients. There was little difference in the group that had endometriosis and the one that had primary dysmenorrhea. Overall the CO2 laser has been very beneficial in gynecological surgery because of its excellent hemostasis minimal tissue damage and precise dissection. The risk of thermal damage to adjacent structures is low with the CO2 laser because of the minimal spread of thermal energy. With the availability of laser laparoscopy a significant number of patients can now be treated for mild to moderate endometriosis or adhesions without major surgical procedures or long term medical therapy.
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Cited by (50)
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- Pelvic denervation procedures for dysmenorrhea 2017
- Clinical Aspects of Endometriosis 2010
- Pelvic denervation procedures: A current reappraisal 2008
- Histopathologic findings on uterosacral ligaments in women with chronic pelvic pain and visually normal pelvis at laparoscopy 2007
- Treatment of Endometriosis-Related Pelvic Pain 2003
- Laparoscopic uterosacral nerve ablation (LUNA) 2002
- Arcus taurinus: the ‘mother and father’ of all LUNAs 2001
- Surgical pelvic neuroablation for chronic pelvic pain: a systematic review 2000
- Surgical management of endometriosis 2000
- Combined Medical and Surgical Treatment of Women with Endometriosis 1999
- Operative management of deep endometriosis infiltrating the uterosacral ligaments 1999
- The evidence for the management of endometriosis 1998
- Surgical Management of Pelvic Pain 1998
- Endoscopic dissection of the uterosacral ligaments for the treatment of chronic pelvic pain 1998
- Laparoscopic Uterine Nerve Ablation, Presacral Neurectomy, and Uterovaginal Ganglion Excision 1997
- Principles of Endoscopic Laser Surgery 1997
- Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study 1996
- 12 Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea 1995
- Operative laparoscopy: surgical modalities 1995
- Treatment of Infertility Associated With Endometriosis 1995
- The History of Surgical Treatment of Endometriosis 1995
- Pain recurrence: A quality of life issue in endometriosis 1995
- Laparoscopy Versus Laparotomy in the Treatment of Endometriosis 1995
- Laser Technology: Endometriosis and Tubal Surgery 1994
- Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis 1994
- 10 Endoscopic surgery 1993
- Laser laparoscopy—indications, techniques and results 1993
- Laparoscopic endometriosis treatment: is it better? 1993
- Laparoscopic endometriosis treatment: Is it better? 1993
- Advantages of Laser Application in Gynecological Endoscopy 1992
- Principles of Endoscopic Laser Surgery 1992
- Utilisation laparoscopique du laser CO2 dans l’endométriose péritonéale et ovarienne 1992
- Laparoscopic Uterine Nerve Ablation, Presacral Neurectomy, and Appendectomy 1992
- Argon Laser Laparoscopy for Treatment of Pelvic Endometriosis Associated with Infertility and Pelvic Pain 1991
- Presentday endoscopic surgery in gynecology 1991
- The Use of CO <sub>2</sub> Laser for Reproductive Surgery 1991
- The Choice of Therapy for the Operative Treatment of Endometriosis Is Endoscopic Laser Surgery 1991
- Laser laparoscopy in the treatment of endometriosis. A 5‐year study 1990
- Cyclic Pelvic Pain 1990
- LAPAROSCOPIC TREATMENT OF ENDOMETRIOSIS 1989
- CO <sub>2</sub> Laser Laparoscopy in Peritoneal Endometriosis and in Ovarian Endometrial Cyst 1989
- Laser Laparoscopy for Infertility Surgery 1989
- Laparoscopic Treatment of Endometriosis 1989
- Videolaseroscopy for the treatment of endometriosis associated with infertility 1989
- Carbon dioxide laser laparoscopy by means of a 3.0-mm diameter rigid wave guide 1988
- Laser Treatment in Female Reproductive Surgery 1988
- CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions 1987
- Surgical treatment of endometriosis via laser laparoscopy 1986
- Initial experience with carbon dioxide laser laparoscopy 1986
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