Surgical management of tubal pregnancy by means of endoscopic laser

S. Takei, E. Kojima, K. Yuda, Yoshitada Kaneko, Shun Hirakawa, Hiroko Nonaka
In: THE JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE · 1985 · vol. 5(3) , pp. 315–320 · doi:10.2530/jslsm1980.5.3_315 · W2334499077
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

Laparoscopic management of three unruptured tubal pregnancies was successfully performed using a YAG laser, offering advantages of a bloodless incision and reduced recovery time.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

The paper describes laparoscopic surgical management of unruptured tubal ectopic pregnancies, using a YAG laser for hemostasis, adhesiotomy, and photovaporization. In a small case report, the authors report managing three ectopic pregnancies diagnosed by laparoscopy, with laser treatment intended to incise tubal tissue under bloodless conditions and reduce recovery time. They outline proposed indications based on patient reproductive plans, pregnancy status, and tubal mass size, but the report is limited by its very small number of cases and lacks comparative outcomes or a formal study design. Relevance to endometriosis: the authors mention having introduced YAG laser for adhesiotomy and photovapolization of endometriosis under laparoscopy, though the paper’s main focus is surgical management of tubal ectopic pregnancy.

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Abstract

In recent years, early detection of ectopic pregnancy has been remarkably improved using ultrasonography, assay of low titer hCG in urine and laparoscopy. We have actively attempted to perform laparoscopy to the patients suspected of ectopic pregnancy for the purpose of detecting as early as possible. We also have introduced YAG laser for hemostasis, adhesiotomy and photovapolization of endometriosis under laparoscopy. In this report, We could manage three ectopic pregnancies which were diagnosed by laparoscopy, radically with YAG laser. Indications for this new procedure will be as follows; 1) The patients who want no more child. 2) Unruptured ectopic tubal pregnancy in good condition. 3) The tumor mass of less than 3-4cm in diameter. This new technique have the advantage of incising easily tubal tissue in a bloodless condition under laparoscopy and reduced recovery period.
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抄録 In recent years, early detection of ectopic pregnancy has been remarkably improved using ultrasonography, assay of low titer hCG in urine and laparoscopy. We have actively attempted to perform laparoscopy to the patients suspected of ectopic pregnancy for the purpose of detecting as early as possible. We also have introduced YAG laser for hemostasis, adhesiotomy and photovapolization of endometriosis under laparoscopy. In this report, We could manage three ectopic pregnancies which were diagnosed by laparoscopy, radically with YAG laser. Indications for this new procedure will be as follows; 1) The patients who want no more child. 2) Unruptured ectopic tubal pregnancy in good condition. 3) The tumor mass of less than 3-4cm in diameter. This new technique have the advantage of incising easily tubal tissue in a bloodless condition under laparoscopy and reduced recovery period. © 特定非営利活動法人 日本レーザー医学会

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endometriosis

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