Pregnancy following salpingostomy: comparison between CO2 laser and electrosurgery procedures

The purpose of this study was to investigate the value of the CO2 laser in tubal surgery. The results of CO2 laser and electrosurgery procedures in salpingostomy were compared. From January 1977 through December 1978, 30 salpingostomies were carried out by electrosurgery. From January 1979 through January 1981, 38 salpingostomies were carried out by CO2 laser. All cases were performed using a microsurgical approach by the same two surgeons. The results for both groups were analyzed and compared. Despite a slight improvement in the term pregnancy rate with the use of the CO2 laser, no statistically significant difference was found between the two procedures in this series. The CO2 laser's ability to cut bloodlessly through tissue with minimal damage allows all procedures of tuboplasty and results in surgery easily and quickly achieved. This experience suggests that the CO2 laser now represents a safe and effective alternative to electrosurgery in tubal microsurgery.