Laparoscopic treatment of deep endometriosis with a diode laser: our experience.
Deep endometriosis
Diode laser
Endometriosis
Pelvic pain
Quality of life
Surgical treatment
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
received:
24
04
2020
accepted:
21
07
2021
pubmed:
28
8
2021
medline:
26
11
2021
entrez:
27
8
2021
Statut:
ppublish
Résumé
To evaluate whether laparoscopic treatment with a diode laser is feasible, safe, and effective in symptomatic patients affected by deep endometriosis (DE). This retrospective study was performed using medical record data. The surgical reports, chronic pain scores, and quality of life (QoL) data were evaluated for 50 patients who had undergone laparoscopic surgery between November 2017 and March 2019 at two university hospitals (Monserrato (CA) and Foggia, Italy). Indications for surgery were chronic pelvic pain and/or infertility in patients who wished to conceive spontaneously. Endometriosis lesions/nodules were excised using a diode laser (Leonardo®, Biolitec® DUAL 45) that can combine 980 and 1470 nm wavelengths transmitted through a 1000 µm conical optical fibre. The median patient age was 32 years (range 21-44), with a body mass index (BMI) mean of 21.7 ± 2.9 kg/m The diode laser confirmed its feasibility and safety for treating endometriosis. During the shaving surgical procedure, the diode laser system ensures a safe and effective laparoscopic dissection of deep endometriotic lesions. Further comprehensive randomized trials are necessary to confirm these preliminary data in terms of efficacy, recurrence rates, and pregnancy outcomes.
Identifiants
pubmed: 34448038
doi: 10.1007/s00404-021-06154-z
pii: 10.1007/s00404-021-06154-z
pmc: PMC8490256
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1221-1231Informations de copyright
© 2021. The Author(s).
Références
Fertil Steril. 1992 Nov;58(5):924-8
pubmed: 1426377
Arch Gynecol Obstet. 2015 Feb;291(2):363-70
pubmed: 25151027
Eur J Obstet Gynecol Reprod Biol. 2016 Nov;206:32-35
pubmed: 27632410
Minim Invasive Ther Allied Technol. 2020 Oct 22;:1-7
pubmed: 33090039
Minerva Ginecol. 2017 Oct;69(5):438-439
pubmed: 28545294
Gynecol Oncol Case Rep. 2014 May 19;9:21-3
pubmed: 25426409
Fertil Steril. 2017 Dec;108(6):931-942
pubmed: 29202966
Reprod Sci. 2021 Mar;28(3):728-735
pubmed: 33174185
ACS Nano. 2015 Feb 24;9(2):1012-57
pubmed: 25608730
Reprod Biomed Online. 2009 Feb;18(2):282-9
pubmed: 19192351
BMJ. 1993 May 29;306(6890):1437-40
pubmed: 8518639
Gynecol Endocrinol. 2019 Jul;35(7):553-558
pubmed: 30909768
Hum Reprod. 2006 Jun;21(6):1629-34
pubmed: 16495305
Fertil Steril. 2012 Sep;98(3):564-71
pubmed: 22938769
Am J Obstet Gynecol. 1981 Mar 15;139(6):645-54
pubmed: 6452062
World J Surg. 2015 Jul;39(7):1663-71
pubmed: 25665678
Obstet Gynecol Clin North Am. 1991 Sep;18(3):407-27
pubmed: 1956663
Eur J Gynaecol Oncol. 2015;36(4):479-81
pubmed: 26390708
J Minim Invasive Gynecol. 2009 Mar-Apr;16(2):174-80
pubmed: 19249705
Minerva Ginecol. 2016 Dec;68(6):722-6
pubmed: 26954490
Semin Reprod Med. 2017 Jan;35(1):72-80
pubmed: 27951614
Acta Obstet Gynecol Scand. 2007;86(12):1467-71
pubmed: 17851806
Gynecol Obstet Fertil Senol. 2018 Mar;46(3):290-295
pubmed: 29534879
Gynecol Endocrinol. 2015;31(8):595-8
pubmed: 26172932
Acta Obstet Gynecol Scand. 2011 Aug;90(8):878-84
pubmed: 21542809
J Obstet Gynaecol Can. 2010 Jul;32(7 Suppl 2):S1-32
pubmed: 21545757
Clin Exp Obstet Gynecol. 2016;43(6):836-839
pubmed: 29944233
Gynecol Endocrinol. 2016;32(1):34-7
pubmed: 26359914
Lasers Surg Med. 1991;11(3):297-300
pubmed: 1830632
Int J Mol Sci. 2019 Nov 10;20(22):
pubmed: 31717614
Best Pract Res Clin Obstet Gynaecol. 2018 Aug;51:102-110
pubmed: 29545114
Obstet Gynecol. 2010 Jul;116(1):223-236
pubmed: 20567196
Gynecol Obstet Fertil. 2016 Dec;44(12):727-729
pubmed: 27773612
Fertil Steril. 2017 Apr;107(4):977-986.e2
pubmed: 28139235
Adv Clin Exp Med. 2020 May;29(5):615-622
pubmed: 32437595
Arch Gynecol Obstet. 2017 Jan;295(1):3-7
pubmed: 27834002
J Minim Invasive Gynecol. 2020 Jul - Aug;27(5):1158-1166
pubmed: 31518709
Ann Surg. 2009 Aug;250(2):187-96
pubmed: 19638912
Fertil Steril. 2013 Nov;100(5):e33
pubmed: 23932024
Hum Reprod. 2014 Mar;29(3):400-12
pubmed: 24435778
Gynecol Endocrinol. 2020 Nov;36(11):1010-1014
pubmed: 32401078
Int J Mol Sci. 2020 Mar 04;21(5):
pubmed: 32143537
Gynecol Endocrinol. 2015 Jun;31(6):454-7
pubmed: 26213861
Biomed Res Int. 2016;2016:3617179
pubmed: 27579309