Excision of pelvic endometriosis with the carbon dioxide laser laparoscope.
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Laparoscopic carbon dioxide laser excision of pelvic endometriosis in 66 patients achieved symptom relief and histologic confirmation without long-term complications.
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Abstract
Laparoscopic vaporization of peritoneal endometriosis has been reported to relieve pain and enhance fertility. However, vaporization of endometriosis, particularly large plaques and hemorrhagic areas, is associated with significant amounts of carbon deposition in the desicated tissues. Further, it is difficult to ascertain complete removal of disease in some areas. In this study, 66 patients were treated by excision of peritoneal and/or ovarian endometriosis with the carbon dioxide laser via laparoscopy. Using excisional techniques, we were able to visualize the extent of peritoneal penetration and subperitoneal spread of endometriotic nodules. Further, we obtained histologic confirmation of the disease process in all patients. No patient received postoperative hormonal therapy during follow-up. Follow-up evaluation of these patients revealed relief of the painful symptoms of endometriosis. No long-term complications were encountered.
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Cited by (20)
- Lasers in gynecology 2013
- Surgical Therapies: Peritoneal Endometriosis Surgery 2011
- Surgical management of endometriosis-associated pain 2003
- Laparoscopic Treatment of Endometriosis 1997
- Surgery for Endometriosis of the Bowel, Bladder, Ureter, and Diaphragm 1997
- Endometriosis of the Intestine and Genitourinary Tract 1995
- Recurrent Endometriosis 1995
- Rationale for Surgical Treatment of Endometriosis 1995
- Gynecology 1995
- The Recurrence of Endometriosis 1994
- Ureteral injury secondary to laparoscopic CO<sub>2</sub> laser 1994
- The role of lasers in the laparoscopic treatment of infertility and endometriosis 1993
- Breaking New Ground or Just Digging a Hole? An Evaluation of Gynecologic Operative Laparoscopy 1992
- Laser laparoscopic management of large endometriomas 1992
- Laparoscopic Treatment of Endometriosis 1992
- Laser laparoscopic management of large endometriomas 1991
- Carbon Dioxide Laser Laparoscopy for Endometriosis 1991
- Increased Histologic Confirmation of Endometriosis 1990
- Depth of Infiltration of Endometriosis 1989
- 6 Fibreoptic laser laparoscopy 1989
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chemicals 3
carbon dioxide
carbon
carbon dioxide
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