The success of laser laparoscopy in the treatment of endometriosis: a two-step analysis.

J D Paulson, John D. Paulson, R Borremeo, G Speck
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2001 · vol. 5(1) , pp. 21–7 · PMID:11303991 · W2221807298
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study analyzed patients with endometriosis who underwent laser laparoscopy after prior treatments, finding that previous laser laparoscopy or laparotomy resulted in poorer outcomes compared to expectant, medical, or cautery treatments.

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Abstract

BACKGROUND AND OBJECTIVES: The most advantageous treatment for nonextensive endometriosis has long been the subject of debate. In recent years, the ability to detect atypical presentations has allowed the gynecological surgeon to treat this disease more readily. The treatment in the past has only been concerned with the singular treatment being applied at the time, not on the effects that previous treatments have had. The purpose of the current study was to see whether previous unsuccessful treatment modalities affected subsequent laser laparoscopy treatment of endometriosis. METHODS: Patients who were previously treated for their endometriosis (minimal and mild) underwent treatment of their disease by laser laparoscopy and the results were analyzed by chi2 (chi-square) analysis. RESULTS: Those patients previously treated with laser laparoscopy and laparotomy demonstrated poorer results than those previously treated with expectant, medical, or cautery. The sum of the original treatments plus the second treatment of laser laparoscopy was equal in all groups. CONCLUSIONS: If endometriosis is diagnosed at the time of laparoscopy and is easily amenable to treatment, it behooves the physician to treat it at the time of surgery.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Laser Therapy Pregnancy Adult Chi-Square Distribution Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Infertility, Female Laparoscopy Laparotomy Laparotomy Laser Therapy Pregnancy

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (36)

Cited by (2)

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