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Abstract
As an alternative to hysterectomy in patients with excessive bleeding, the endometrium
was destroyed by means of the neodymium-YAG laser. The photovaporization was done
under direct vision through a hysteroscope. Twenty-two patients have been treated,
all but one successfully, i.e., little or no menstrual flow. The human uterus having
a thick myometrium was found to be ideal for this modality. To suppress endometrial
regeneration further, each patient was placed on a regimen of danazol for 2 to 3 weeks
prior to and after the procedure. Hysterograms after laser photovaporization showed
variable degrees of uterine contraction, scarring, and adhesion formation. Biopsies
of the endometrial surface up to 20 months following the procedure showed no evidence
of inflammation other than foreign body giant cell reaction around carbon particles.
Minimal endometrial regeneration occurred.
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Article info
Footnotes
☆Certificate of Merit Award paper presented at the Forty-eighth Annual Meeting of the Central Association of Obstetricians and Gynecologists, Minneapolis, Minnesota, September 25–27, 1980.
Identification
Copyright
© 1981 Published by Elsevier Inc.
