Micro-laser myomectomy technique to enhance reproductive potential: a preliminary report

Uterine myomas may be removed utilizing the carbon dioxide laser by direct and indirect vaporization, or by direct and indirect excision. The advantages of utilizing the CO2 laser are (1) improved hemostasis; (2) more precision, thus removing only abnormal tissue; and (3) the ability to remove fibroids from previously inaccessible areas. A description of the micro-surgical technique for myomectomy in eight patients is discussed. No major complications were encountered with this new technique, which will require long-term follow-up in a larger series of patients to define more precisely its role in gynecologic surgery.