Document Detail


Excision of pelvic endometriosis with the carbon dioxide laser laparoscope.
MedLine Citation:
PMID:  2971904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laparoscopic vaporization of peritoneal endometriosis has been reported to relieve pain and enhance fertility. However, vaporization of endometriosis, particularly large plaques and hemorrhagic areas, is associated with significant amounts of carbon deposition in the desicated tissues. Further, it is difficult to ascertain complete removal of disease in some areas. In this study, 66 patients were treated by excision of peritoneal and/or ovarian endometriosis with the carbon dioxide laser via laparoscopy. Using excisional techniques, we were able to visualize the extent of peritoneal penetration and subperitoneal spread of endometriotic nodules. Further, we obtained histologic confirmation of the disease process in all patients. No patient received postoperative hormonal therapy during follow-up. Follow-up evaluation of these patients revealed relief of the painful symptoms of endometriosis. No long-term complications were encountered.
Authors:
G D Davis; R A Brooks
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  72     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1988-11-23     Completed Date:  1988-11-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  816-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Endometriosis / surgery*
Female
Humans
Laparoscopy*
Laser Therapy / adverse effects,  methods*
Middle Aged
Neoplasm Recurrence, Local
Ovarian Neoplasms / surgery
Pelvic Neoplasms / surgery*
Peritoneal Neoplasms / surgery
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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