title: Nd:YAG laser therapy for infertility with a contact-type probe.
abstract: Laparoscopic Nd:YAG laser surgery for tubal adhesiolysis, hydrosalpinx and other disorders is an effective treatment for female infertility that causes relatively little tissue damage. In initial studies using contact-type probes, the 0.4-mm-diameter probe and 10 mm/sec incision speed were found to cause less tissue degeneration than did other combinations (P less than .05). Fifteen infertile women were treated at laparoscopy with a Nd:YAG laser; one of six with hydrosalpinx achieved pregnancy after salpingostomy using a contact-type probe, two of three with tubal adhesions achieved pregnancy after adhesiolysis with the Nd:YAG laser, and three of six with polycystic ovaries achieved pregnancy after wedge resection using a contact-type probe. Five of fifteen infertile women conceived after Nd:YAG laser surgery with a contact-type probe under laparoscopy. We confirmed that contact irradiation with a ceramic incising probe is capable of creating an adequate incision at low power levels and that laparoscopic Nd:YAG laser surgery for infertile women is an effective treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Toho University School of Medicine, Tokyo, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Yanagibori
authors.forename: E
authors.initials: E
authors.lastname: Kojima
authors.forename: K
authors.initials: K
authors.lastname: Ohtaka
authors.forename: M
authors.initials: M
authors.lastname: Morita
authors.forename: S
authors.initials: S
authors.lastname: Hirakawa
mesh_terms: D000328:Adult; D005186:Fallopian Tube Patency Tests; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D020706:Laparoscopes; D053685:Laser Therapy / Q000295:instrumentation*; D011085:Polycystic Ovary Syndrome / Q000601:surgery; D011247:Pregnancy; D000267:Tissue Adhesions