Treatment of endometriosis with a Nd:YAG tissue-contact laser probe via laparoscopy.
The neodymium:yttrium-aluminum garnet (Nd:YAG) laser was used via laparoscopy in 84 patients complaining of infertility and/or pelvic pain. All patients in the study had biopsy-proven or visually confirmed pelvic endometriosis. The Nd:YAG laser was used in conjunction with sapphire probes as a touch technique on tissue. Problems usually encountered, such as mirror alignment, beam focus, and smoke plume, with carbon dioxide laser systems were avoided, and use of the laser in a liquid environment was possible. Restoration of fertility was seen in 39.7% with short follow-up; pain relief was excellent, especially in conjunction with uterosacral denervation.
Corson
S L
SL
Pennsylvania Hospital Department of Obstetrics and Gynecology, Philadelphia.
Woodland
M
M
Frishman
G
G
Batzer
F R
FR
Gocial
B
B
Maislin
G
G
D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000601:surgery; D020706:Laparoscopes; D053685:Laser Therapy / Q000295:instrumentation*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D010166:Palliative Care / Q000295:instrumentation; D010386:Pelvic Neoplasms / Q000601:surgery*; D011247:Pregnancy; D012086:Reoperation