Laser laparoscopic management of large endometriomas.
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.
Daniell
J F
JF
Women's Health Research and Education Foundation, HCA West Side Hospital, Nashville, Tennessee 37203.
Kurtz
B R
BR
Gurley
L D
LD
D000328:Adult; D001128:Argon; D002245:Carbon Dioxide; D004715:Endometriosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy; D053685:Laser Therapy; D009364:Neoplasm Recurrence, Local; D010166:Palliative Care; D010710:Phosphates; D014025:Titanium
D010710:Phosphates; C064806:potassium titanylphosphate; D002245:Carbon Dioxide; D001128:Argon; D014025:Titanium