Laparoscopic Pelvic Adhesiolysis Using CO2 Laser

Pelvic adhesions constitute one of the main problems in infertility management. In this study the role of CO2 laser in managing this problem was assessed. One hundred sixty-seven patients with pelvic adhesions suffering from chronic pelvic pain and inability to conceive [Primary infertility 58 (34.7%), secondary infertility 109 (65.3%)] were included in this study. The patients were categorized by diagnostic laparoscopy as mild, 72 (43.1%) group I; moderate, 58 (34.7%) group II; and severe 37 (22.2%) group III. All patients were subjected to operative laparoscopy (3 puncture technique) and CO2 laser adhesiolysis using the Surgilase 50. All patients were followed for one year after the procedure. Complete relief of pain was observed in 60 (83.3%), 36 (62.1%) and 19 (51.4%) women in group I, II, and III, respectively. Pregnancy occurred in 51 (70.8%), 28 (48.3%), and 8 (21.6%) patients in group I, II, and III, respectively. CO2 laser is a precise and effective means of pelvic adhesiolysis in properly selected patients.