[Possibilities and significance of using lasers in gynecology]

Since 1973 laser technology has found its way into gynecology as well as other branches of medicine. CO2-, Neodym-YAG-, and argon-laser have been used. Experience has been made with the laser treatment of benign and precancerous lesions of the vulva, vagina, and cervix uteri. The laser is also being used increasingly for infertility operations, adhesiolysis and treatment of endometriosis. Since 1979, the laser has also been applied pelviscopically for these indications. As an advantage of laser techniques the possibility of operating atraumatically and relatively bloodlessly has been named. Disadvantages have been found in the high cost of the equipment, the special training required of the physician, and the possible danger for the patient and the operation theatre staff. Until now, there has been no definite proof that laser technology gives better results in the various operations mentioned than conventional methods.