Micro‐laser myomectomy technique to enhance reproductive potential: A preliminary report

Abstract

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.

Microsurgical laser technique for abdominal myomectomy

“…They may, however, include compression of the uterotubal junction, interference with tubal patency, or alteration of the endometrial cavity significant enough to cause pregnancy loss . 4 Furthermore, the submucous lesions may cause atrophy or ulceration of the overlying endometrium, preventing nidati~n.~ Abnormalities of the myometrial vascular pattern, commonly responsible for significant menorrhagia, may also impair Indeed, the common denominator for patients in our series was menorrhagia and infertility. This confirms previous observations that women with myomata-associated infertility or abortion have a high incidence of menorrhagia.…”

Methods of reducing blood loss during reconstructive operations on the uterus

“…Так, например, D.S. McLaughlin (1985) применял СО2-лазер при проведении операций консервативной миомэк томии и метропластики, отмечая при этом та кие преимущества использования СО2-лазера, как: 1) улучшение гемостаза и уменьшение кро вопотери; 2) большая точность, а следователь но, удаление только патологически измененных тканей; 3) при миомэктомии -возможность удаления миоматозных узлов из ранее недоступ ных областей [37,38]. Л.В.…”