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Laser laparoscopic surgery in the treatment of ovarian endometriomas
C J Sutton1, S P Ewen, S A Jacobs
1Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, UK GU2 5XX.
Study Objective:
To assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two.
Design:
Retrospective review of all patients with endometriomas from June 1, 1983, to December 31, 1993.
Setting:
Department of gynecology and obstetrics at a district general hospital and national training center in minimal access surgery.
Patients:
One hundred sixty-five women with large endometriomas present at the time of laser laparoscopy.
Interventions:
Carbon dioxide laser or potassium-titanyl-phosphate laser laparoscopic surgery.
Measurements And Main Results:
Ninety (74%) of 122 patients reported improvement or resolution of pain; and 30 of 66 achieved a pregnancy, for a cumulative conception rate of 45%.
Conclusion:
Laser laparoscopy is a practical, safe, and effective technique for the management of large ovarian endometriomas.