Laser laparoscopic surgery in the treatment of ovarian endometriomas.

Abstract

STUDY OBJECTIVE:

To assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two.

DESIGN:

Retrospective review of all patients with endometriomas from June 1, 1983, to December 31, 1993.

SETTING:

Department of gynecology and obstetrics at a district general hospital and national training center in minimal access surgery.

PATIENTS:

One hundred sixty-five women with large endometriomas present at the time of laser laparoscopy.

INTERVENTIONS:

Carbon dioxide laser or potassium-titanyl-phosphate laser laparoscopic surgery.

MEASUREMENTS AND MAIN RESULTS:

Ninety (74%) of 122 patients reported improvement or resolution of pain; and 30 of 66 achieved a pregnancy, for a cumulative conception rate of 45%.

CONCLUSION:

Laser laparoscopy is a practical, safe, and effective technique for the management of large ovarian endometriomas.

• Authors: C J Sutton, S P Ewen, S A Jacobs, N L Whitelaw
• Journal: The Journal of the American Association of Gynecologic Laparoscopists (J Am Assoc Gynecol Laparosc) Vol. 4 Issue 3 Pg. 319-23 (May 1997) ISSN: 1074-3804 [Print] United States
• PMID: 9154780 (Publication Type: Journal Article)

Topics

• Adult
• Case-Control Studies
• Endometriosis (complications, surgery)
• Female
• Humans
• Infertility, Female (etiology)
• Laparoscopy
• Laser Therapy
• Middle Aged
• Ovarian Diseases (complications, surgery)
• Pelvic Pain (etiology)
• Pregnancy
• Retrospective Studies
• Treatment Outcome