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laser TL surgery

by sjb (no login)

Candi, What year did you have your surgery?

I found the following information at Grateful Med . I didn't find any "statistics" about this. If you find information please forward it to me. Thanks.

TITLE: Morphology of rabbit ovaries after sterilization by uterus horn coagulation or section.

AUTHORS: Riedel HH; Lehmann-Willenbrock E

AUTHOR AFFILIATION: Department of Obstetrics and Gynecology, University of Aachen.

SOURCE: Zentralbl Gynakol 1989;111(9):581-6

CITATION IDS: PMID: 2741596 UI: 89299962

ABSTRACT: Tubal sterilization of women may lead to menstrual cycle changes and climacteric complaints. Interference with ovarian metabolism, caused by impaired vascular and/or neural supply of the ovaries is held responsible for this. To obtain a histopathologic equivalent of these ovarian alterations in an animal model, we coagulated resp. cut the uterus horns of 316 white New Zealand rabbits by pelviscopy resp. by laparatomy. The pelviscopic method used was endocoagulation acc. to Semm in 80 cases, monopolar high frequency coagulation in 94 cases, and bipolar high frequency coagulation in 109 cases. The uterus horns of 23 rabbits were cut with a CO2-laser by laparotomy, a control group consisted of 10 animals. After 1, 2, 4, 8 or 12 weeks, the rabbits' ovaries were exstirpated by laparotomy and examined morphologically. Results: The increase of the average ovary diameter as well as the decrease of tertiary follicle numbers per ovary were significant by analysis of variance; however, a dependence on the operation method used could not be detected.


TITLE: Attempted transcervical occlusion of the fallopian tube with the Nd:YAG laser.

AUTHORS: Brumsted JR; Shirk G; Soderling MJ; Reed T

AUTHOR AFFILIATION: Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington.

SOURCE: Obstet Gynecol 1991 Feb;77(2):327-8

CITATION IDS: PMID: 1988904 UI: 91110227

ABSTRACT: A prospective multi-center trial was initiated to test the efficacy and safety of transcervical occlusion of the fallopian tube with the Nd:YAG laser. A multi-center approach was deemed necessary because of the large sample size required to test adequately the effectiveness of sterilization procedures. However, efforts to continue the study as designed were abandoned because, of the 17 subjects completing the study, only four (24%) had bilateral tubal occlusion at the site of laser treatment. We conclude that the hysteroscopic method, as tested, is inadequate to provide permanent sterilization. Modification of the technique or alterations in patient preparation may improve the outcome.

Posted on Mar 19, 1999, 10:47 AM
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