Laparoscopic CO2 laser vaporization of endometriosis compared with traditional treatments

G D Adamson, G. David Adamson, J Lu, Lu J, John Lu, Subak LL, Leslee L. Subak, L L Subak
Fertility and sterility · 1988 · vol. 50(5) , pp. 704–710 · doi:10.1016/s0015-0282(16)60302-3 · PMID:2972565 · W152304176
Other OA: closed CC0 ⤵ 29 in-corpus citations
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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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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laser Therapy Laser Therapy Actuarial Analysis Actuarial Analysis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Pregnancy Pregnancy Volatilization Volatilization

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (22)

Cited by (26)

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