Laser laparoscopic management of large endometriomas
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Laser laparoscopic management of large ovarian endometriomas in 47 patients showed no complications and led to pregnancy in 12 of 32 infertile women and improvement in pain for 23 of 30 women.
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Abstract
Forty-seven patients underwent laser laparoscopic management of endometriomas from 3 to 12 cm in diameter. Eighteen patients had infertility, 15 had pelvic pain, and 14 had both. The types of laser used were the carbon dioxide, argon, and potassium-titanyl-phosphate. There were no surgical complications. Twelve of 32 patients with infertility achieved pregnancy after the initial procedure. Subsequently, 2 patients conceived after a second-look procedure. Twenty-three of 30 patients with pelvic pain reported improvement or resolution. We confirm the efficacy of operative laparoscopy using lasers in the management of large ovarian endometriomas.
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References (14)
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- CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions via openalex
- Combined laparoscopic surgery and danazol therapy for pelvic endometriosis via openalex
- CO <sub>2</sub> Laser Laparoscopy in Peritoneal Endometriosis and in Ovarian Endometrial Cyst via openalex
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- Excision of pelvic endometriosis with the carbon dioxide laser laparoscope via openalex
- Laparoscopic laser treatment of endometriosis with the Nd:YAG sapphire probe via openalex
- Management of endometriosis and its associated adhesions with the CO2 laser laparoscope via openalex
- Nd:YAG laser laparoscopy for ovarian endometriomas via openalex
- Surgical treatment of endometriosis via laser laparoscopy via openalex
- Three step medical and surgical treatment of endometriosis via openalex
- Treatment of ovarian endometriomas using laparoscopic surgical techniques via openalex
- W2419470029 via openalex
Cited by (35)
- Assessment of ovarian reserve after cystectomy versus 'one-step' laser vaporization in the treatment of ovarian endometrioma: a small randomized clinical trial 2018
- Influence of ovarian endometrioma on expression of steroid receptor RNA activator, estrogen receptors, vascular endothelial growth factor, and thrombospondin 1 in the surrounding ovarian tissues 2013
- Follicular loss in endoscopic surgery for ovarian endometriosis: quantitative and qualitative observations 2011
- An investigation of the surgical treatment of endometriosis 2010
- Comparing Ovarian Reserves After Laparoscopic Excision of Ovarian Endometriotic Cysts and Ovarian Nonendometriotic Cysts 2010
- The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study 2009
- Excisional surgery versus ablative surgery for ovarian endometriomata 2008
- The Management of Chronic Pelvic Pain 2008
- Excisional surgery versus ablative surgery for ovarian endometriomata: a Cochrane Review 2005
- Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III-IV endometriosis and endometriotic cysts 2003
- Endometriosis 2003
- Does laparoscopic excision of endometriotic ovarian cysts significantly affect ovarian reserve? Insights from IVF cycles 2003
- Management of endometriosis-associated infertility 2003
- Does Laparoscopic Surgery for Endometriomas Really Relieve Painful Symptoms? 2002
- Ovarian response during IVF-embryo transfer cycles after laparoscopic ovarian cystectomy for endometriotic cysts of >3 cm in diameter 2001
- Endometriomas: a review of modern management 2000
- Recurrence of ovarian endometrioma after laparoscopic excision 1999
- Surgical treatment for chronic pelvic pain 1999
- Ultrasound guided aspiration of endometrioma--a new therapeutic modality to improve reproductive outcome 1999
- Factors affecting postoperative pregnancy rate after endoscopic management of large endometriomata 1998
- The role of laparoscopy in the management of pelvic pain in women of reproductive age 1997
- Laparoscopic Ovarian and Parovarian Surgery 1997
- Laparoscopic Ovarian Surgery and Adhesions 1997
- of pelvic pain in women 1997
- Laser laparoscopic surgery in the treatment of ovarian endometriomas 1997
- Pain relief after combined medical and laparoscopic conservative treatment of stage III–IV endometriosis: A comparison with medical therapy 1996
- Surgical Therapy of Endometriosis 1996
- The use of GnRH agonists in the treatment of endometriomas with or without drainage 1996
- Laparoscopic treatment of symptomatic endometriosis 1996
- Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique 1996
- Laparoscopic treatment of chronic pelvic pain in 100 adult women 1995
- Endoscopic versus laparotomy management of endometriomas 1994
- The role of lasers in the laparoscopic treatment of infertility and endometriosis 1993
- The surgical management of endometriosis 1993
- Laser laparoscopy—indications, techniques and results 1993
Source provenance
- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:05.892929+00:00
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