Laparoscopic surgery for tubal pregnancies utilizing laser.
Nine cases of ectopic pregnancy were treated by laser supported tubotomy and subsequent endoscopic evacuation by a forceps. The location of the ectopic pregnancies were as follows: ampulla (one patient); isthmus (five patients); and fallopian tube (three patients, in two of whom the whole tube was a hematosalpinx). The incision in the tube was made on the antimesenteric side according to the position and size of the ectopic pregnancy using an Nd YAG laser. Tissue destruction of the Nd YAG laser was diminished by using a crystal. After the incision, the conceptional debris was removed by a forceps. In all cases the fallopian tube was left open. Three months after the operation an X-ray was performed. In all nine cases, patent tubes could be documented on the affected and on the contralateral side. In the two patients with hematosalpinx, adhesions of the treated tube were found.
Huber
J
J
First Department for Gynecology and Obstetrics, Universitäts-Frauenklinik, Vienna, Austria.
Hosmann
J
J
Vytiska-Binstorfer
E
E
D005260:Female; D006801:Humans; D010535:Laparoscopy; D053685:Laser Therapy; D011028:Pneumoperitoneum, Artificial; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000601:surgery*