Laparotomy in infertility patients with endometriosis. Use of the CO2 laser.

Richard D. Kelly, R Kelly, Michael P. Diamond, M P Diamond
The Journal of reproductive medicine · 1989 · vol. 34(1) , pp. 25–8 · PMID:2704006 · W187675679
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Laparotomy using the CO2 laser in 68 infertile women with endometriosis resulted in a 70% cumulative pregnancy rate at 48 months, with higher success for those who previously failed other therapies.

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Abstract

Sixty-eight women underwent laparotomy for endometriosis associated with infertility. They were not candidates for laser laparoscopy by our criteria, or they had failed to conceive after previous therapy. The cumulative pregnancy rate was 70% at 48 months. Patients who failed to conceive after previous laparotomy and those who failed to conceive after previous medical therapy experienced 44% and 28% term pregnancy rates, respectively, after laparotomy using the CO2 laser. Thus, for women who have failed to conceive after major surgical procedures, repeat surgery may offer a greater chance of conception than do multiple cycles of in vitro fertilization/embryo transfer.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Laser Therapy Peritoneal Neoplasms Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Laparotomy Peritoneal Neoplasms Peritoneal Neoplasms Pregnancy

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (5)

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