A second puncture probe for laparoscopic delivery of the Nd:Yag laser.

A prospective trial was initiated to determine the efficiency and safety of a laparoscopic second puncture probe designed to deliver the Nd:Yag laser. A contact technique was used to treat 32 women with either endometriosis (N = 23) or post-inflammatory pelvic adhesions (N = 9). The delivery system proved to be safe and provided easy access to all areas of pelvic pathology. The potential advantages over the CO2 laser include improved hemostasis, decreased plume formation, the ability to incise adhesions safely without a backstop, and effective transmission of the laser energy through fluids.