Photocoagulation of early pelvic endometriosis with the Nd: YAG laser through the laparoscope.

The Journal of reproductive medicine · 1985 · vol. 30(2) , pp. 77–81 · PMID:3156988 · W2408620276
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This study evaluated the Nd:YAG laser's efficacy for early pelvic endometriosis, finding symptom relief in all treated patients and no disease recurrence in two with repeat laparoscopies.

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Abstract

Our prospective study evaluated the efficacy of the Nd:YAG laser (MMB-AT MediLas 2) for early-stage clinical endometriosis. Patients with suspected endometriosis underwent diagnostic laparoscopy, and if mild or moderate pelvic endometriosis was discovered, the lesions were treated with the Nd:YAG laser at a power setting of 20 w with intermittent, one- to three-second exposures. All the patients are being treated postoperatively with danazol (800 mg/day) for three to nine months. At this writing, 14 of 24 patients selected for laparoscopy were eligible for treatment with the Nd:YAG laser. Six weeks after treatment all the patients reported relief of their initial symptoms. To date, two patients have had repeat laparoscopy after Nd:YAG photocoagulation of mild endometriotic lesions. Neither patient had evidence of disease at the second laparoscopy.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lasers Laser Therapy Pelvic Neoplasms Combined Modality Therapy Danazol Danazol Endometriosis Endometriosis Female Humans Laparoscopy Pelvic Neoplasms Pelvic Neoplasms Prospective Studies

Citation neighborhood

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