Laparoscopic CO2 laser vaporization of endometriosis compared with traditional treatments
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This study compares laparoscopic CO2 laser vaporization of endometriosis with traditional treatments, assessing their efficacy and outcomes.
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Abstract
This study reports on 108 infertile patients with endometriosis diagnosed at laparoscopy. Sixty-four patients had endometriosis and adhesions vaporized with a CO2 laser (LAS) and were prospectively compared with a control group (CON) of 44 patients who had laparoscopy. The 6- and 12-month estimated cumulative pregnancy rates for LAS were 0.32 +/- 0.07 and 0.55 +/- 0.09 respectively, and for CON 0.17 +/- 0.06 and 0.43 +/- 0.09 (Breslow P = 0.10). Monthly fecundity rates were 6.7% in LAS and 4.5% in CON. Survival analysis with fixed covariates showed that pregnancy rates were increased in patients with adhesions (P = 0.002) and other pelvic disease (P = 0.0001). Pregnancy rates were reduced by age (P = 0.02), previous adhesiolysis (P = 0.0000) and post-laparoscopy medical treatment (P = 0.0002). Our findings indicate that CO2 laser laparoscopy vaporization of endometriosis can be a safe, effective, and possibly improved modality for treating endometriosis.
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Cited by (26)
- Эндометриоид касаллигининг турли хил шаклларининг клиник ва морфологик хусусиятларини ўрганиш 2021
- Lasers in gynecology 2013
- Safety of the Helica Thermal Coagulator in treatment of early stage endometriosis 2005
- Surgical management of endometriosis-associated pain 2003
- A 36-Year-Old Woman With Endometriosis, Pelvic Pain, and Infertility 1999
- Comparison between medical treatment by GnRH analogue (goserelin) and conservative surgery by laparoscopic diathermy for the management of endometriosis 1998
- Efficacy of isotopic 13CO2 laser laparoscopic evaporation in the treatment of infertile patients with minimal and mild endometriosis: A life table cumulative pregnancy rates study 1997
- Laparoscopic Treatment of Endometriosis 1997
- Laparoscopy versus microsurgery by laparotomy for excision of ovarian cysts in patients with moderate or severe endometriosis 1996
- Surgical Therapy of Endometriosis 1996
- Operative laparoscopy: surgical modalities 1995
- Lasers in gynecology: Why pragmatic surgeons have not abandoned this valuable technology 1995
- Treatment of Infertility Associated With Endometriosis 1995
- Rationale for Surgical Treatment of Endometriosis 1995
- Surgical treatment of endometriosis-associated infertility: Meta-analysis compared with survival analysis 1994
- Management of Stage III and IV endometriosis: a 10-year experience 1994
- Laparoscopic endometriosis treatment: is it better? 1993
- Laparoscopic endometriosis treatment: Is it better? 1993
- Laparoscopic Treatment of Endometriosis 1992
- Laser Use in Laparoscopic Surgery 1992
- Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata 1992
- Carbon Dioxide Laser Laparoscopy for Endometriosis 1991
- Presentday endoscopic surgery in gynecology 1991
- Laser laparoscopy in the treatment of endometriosis 1991
- Laparoscopy and Operative Laparoscopy 1990
- 4 CO2 laser laparoscopy in the treatment of endometriosis 1989
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