[Treatment of gynecological diseases by laparoscopic operation]

A series of 101 cases of gynecological diseases were treated laparoscopically by Nd: YAG laser (n = 68), electrocautery (n = 23) and microwave (n = 10) from September 1989 to November 1990 at PUMC Hospital in Beijing. This series included 64 patients with endometriosis, 17 with ectopic pregnancy, 13 with paraovarian cysts and other ovarian cysts; 4 with hydrosalpinx; 2 with subserosal myomata and 1 with polycystic ovary disease. All the operations were performed under local and topical anesthesia with procaine and dicaine respectively. Follow-up for 2-16 months revealed that, all the cases of endometriosis and other ovarian cysts produced good results. The patients of ectopic pregnancy were treated successfully by mere laparoscopy without laparotomy. No operative complications occurred. The technique, indications and characteristics of the operations are discussed.