Laser Laparoscopy in Gynecologic Field

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.