Laser laparoscopic surgery in the treatment of ovarian endometriomas

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.