Diode laser use in hysteroscopic surgery: current status and future perspectives

Area of Science:

• Gynecological surgery
• Minimally invasive procedures
• Laser technology in medicine

Background:

• Surgical technology advancements have transformed gynecological procedures, particularly hysteroscopy.
• Various surgical lasers, including Nd-Yag, Argon, diode, and CO2 lasers, are used for gynecological pathologies.

Purpose of the Study:

• To review the role of laser energy in gynecology, focusing on hysteroscopy.
• To provide a deeper understanding of diode laser applications in hysteroscopic surgery.
• To guide the safe incorporation of laser technology into clinical practice.

Main Methods:

• Review of updated evidence on laser use in hysteroscopy.
• Analysis of diode laser characteristics (versatility, cut/coagulate action, dual wavelength).
• Evaluation of safety and efficacy in hospital and office settings.

Main Results:

• Diode lasers offer simultaneous cut and coagulate action, improving hemostasis over CO2 lasers.
• Newer diode laser devices provide increased power, dual wavelength, precision, and minimal thermal dispersion.
• Successful hysteroscopic procedures like endometrial polypectomies, myomectomies, and metroplasties can be performed with diode lasers.

Conclusions:

• Diode lasers are a versatile and feasible innovation for hysteroscopic surgery.
• The efficacy and safety of diode lasers have been validated in clinical settings.
• Diode laser technology can be safely incorporated into routine gynecological hysteroscopic practice.