Laser Laparoscopy in Gynecologic Field

In: THE JOURNAL OF JAPAN SOCIETY FOR LASER SURGERY AND MEDICINE · 1994 · vol. 15(Supplement) , pp. 185–188 · doi:10.2530/jslsm1980.15.supplement_185 · W2325063254
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This study evaluated laser laparoscopy alongside other energy devices for treating 49 endometriosis cases and two adenomyosis cases, reporting excellent surgical outcomes and comparing equipment advantages.

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This 1994 study evaluated the efficacy of various laser modalities, including Nd:YAG and KTP/YAG, alongside electrocautery and harmonic scalpels for gynecologic laparoscopic procedures. The research analyzed a cohort of patients with diverse conditions, specifically including 49 cases of endometriosis and two cases of adenomyosis, among other pathologies like ovarian cysts and cervical carcinoma in situ. The authors reported excellent surgical outcomes across the treated groups while discussing the comparative advantages and disadvantages of each energy device used. Relevance to endometriosis: This paper is centrally about endometriosis, detailing its laparoscopic treatment using laser technology as part of a broader study on gynecologic diseases.

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Abstract

Laparoscopic surgery for gynecologic disease was performed with various lasers (Nd: YAG, KTP/YAG, Ho: YAG), electrocautery (monopolar, bipolar, Argon beam coagulator) and Harmonic scalpel. Our materials included 49 endmetriosis (26 with endometrioma, 23 without it), 4 dysmenorrhea, 7ovarian cyst (paraovarian cyst: 2, dermoid cyst: 1, serous cyst: 3, mucinous cyst: 1), 2 Fitz Hugh Curtis syndrome, 1 pyosalpinx, 2 adenomyosis, 3 myoma and 2 carcinoma in situ of the uterine cervix. For the treatment of ovarian tumor, dranage, ethanol fixation, ablation of lining, stripping of lining and adnexectomy were performed on them. For the treatment of adhesion, lysis and/or TUSL (Transection of UteroSacral Ligament) were underwent. For the treatment myoma, adenomyosis with and carcinoma in situ of the uterine cervix, LAVH (Laparoscopically Assisted Vaginal Hysterectomy) was carried out.An excellent result after laparoscopic surgery was obtained and the advantage and disadvantage of each equipment were discussed.
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婦人科領域に於ける腹腔鏡下レーザー治療 1994 年 15 巻 Supplement 号 p. 185-188 詳細 抄録 Laparoscopic surgery for gynecologic disease was performed with various lasers (Nd: YAG, KTP/YAG, Ho: YAG), electrocautery (monopolar, bipolar, Argon beam coagulator) and Harmonic scalpel. Our materials included 49 endmetriosis (26 with endometrioma, 23 without it), 4 dysmenorrhea, 7ovarian cyst (paraovarian cyst: 2, dermoid cyst: 1, serous cyst: 3, mucinous cyst: 1), 2 Fitz Hugh Curtis syndrome, 1 pyosalpinx, 2 adenomyosis, 3 myoma and 2 carcinoma in situ of the uterine cervix. For the treatment of ovarian tumor, dranage, ethanol fixation, ablation of lining, stripping of lining and adnexectomy were performed on them. For the treatment of adhesion, lysis and/or TUSL (Transection of UteroSacral Ligament) were underwent. For the treatment myoma, adenomyosis with and carcinoma in situ of the uterine cervix, LAVH (Laparoscopically Assisted Vaginal Hysterectomy) was carried out. An excellent result after laparoscopic surgery was obtained and the advantage and disadvantage of each equipment were discussed. An excellent result after laparoscopic surgery was obtained and the advantage and disadvantage of each equipment were discussed. © 特定非営利活動法人 日本レーザー医学会

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adenomyosisendometriomadysmenorrhea

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