Management of endometriosis and its associated adhesions with the CO2 laser laparoscope
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CO2 laser laparoscopy effectively treated endometriosis and adhesions in 158 patients, achieving significant pain relief and improved fertility with minimal complications.
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Abstract
One hundred fifty-eight patients with endometriosis were treated with the carbon dioxide laser laparoscope and followed for 15 months. The revised American Fertility Society classification of endometriosis was used to stage the disease. The median revised American Fertility Society points per patient was 29.4. Removal of adhesions, periureteral endometriosis, and superficial bowel endometriosis was accomplished. Complications consisted of bleeding, extravasation of fluid, and uterine and bladder puncture. No serious complications requiring laparotomy were encountered. Significant relief of dysmenorrhea and dyspareunia as well as enhanced fertility was achieved. Second-look laparoscopy confirmed efficient removal of endometriosis. Pain relief and pregnancy data are presented. Endometriosis and its related adhesions can be removed precisely and relatively bloodlessly with the carbon dioxide laser laparoscope. Expertise in advanced laparoscopy and a thorough knowledge of use of the carbon dioxide laser and its bioeffects are prerequisites to performing this procedure.
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Cited by (50)
- Uterosacral Nerve Ablation and Presacral Neurectomy in the Treatment of Chronic Pelvic Pain in Women 2019
- [Current treatment of endometriosis with laparoscopic surgery] 2010
- Grundlagen und Bedeutung der operativen Endometriosetherapie 2009
- The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study 2009
- Treatment of pelvic pain associated with endometriosis 2008
- Surgical management of endometriosis 2007
- Treatment of pelvic pain associated with endometriosis 2006
- The history of endometriosis 2005
- Laser Vaporization and Electrocoagulation of Endometriosis 2004
- Surgical management of endometriosis 2004
- Treatment of Endometriosis-Related Pelvic Pain 2003
- Surgical management of endometriosis-associated pain 2003
- Arcus taurinus: the ‘mother and father’ of all LUNAs 2001
- Surgical management of endometriosis 2000
- Operative management of deep endometriosis infiltrating the uterosacral ligaments 1999
- Combined medical and surgical treatment of women with endometriosis 1999
- Endoscopic dissection of the uterosacral ligaments for the treatment of chronic pelvic pain 1998
- Endometriosis-associated pelvic pain: evidence for an association between the stage of disease and a history of chronic pelvic pain 1997
- Laparoscopic treatment of symptomatic endometriosis 1996
- Surgical Therapy of Endometriosis 1996
- Laparoscopic treatment of deep endometriosis located on the uterosacral ligaments 1996
- Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study 1996
- Recurrent Endometriosis 1995
- The History of Surgical Treatment of Endometriosis 1995
- Rationale for Surgical Treatment of Endometriosis 1995
- Treatment of Infertility Associated With Endometriosis 1995
- Gynecology 1995
- Endoscopic surgery 1993
- Endometriose 1993
- Laser laparoscopy—indications, techniques and results 1993
- Utilisation laparoscopique du laser CO2 dans l’endométriose péritonéale et ovarienne 1992
- Laparoscopic alternatives to laparotomy: a new approach to gynaecological surgery 1992
- Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata 1992
- Laser laparoscopic management of large endometriomas 1992
- Laser laparoscopic management of large endometriomas 1991
- Laser laparoscopy in the treatment of endometriosis 1991
- Present day endoscopic surgery in gynecology 1991
- The use of CO 2 laser for reproductive surgery 1991
- Laser laparoscopy in the treatment of endometriosis. A 5-year study 1990
- CO2 laser laparoscopy in the treatment of endometriosis 1989
- Endometriosis 1989
- Laser Laparoscopy for Infertility Surgery 1989
- CO <sub>2</sub> Laser Laparoscopy in Peritoneal Endometriosis and in Ovarian Endometrial Cyst 1989
- The development of laparoscopic surgery 1989
- Initial Report of the Carbon Dioxide Laser Laparoscopy Study Group: Complications 1989
- CO2 laser laparoscopy 1989
- Laparoscopic Treatment of Endometriosis with Laser and Videocamera Augmentation (Videolaseroscopy) 1989
- Laparoscopic treatment of endometriosis 1989
- Laparoscopic treatment of endometriosis 1989
- CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions 1987
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