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The Versatility of Using Carbon Dioxide Lasers in Minimally Invasive Gynecologic Surgery

Michael Scheiber, MD

The CO2 laser is a useful, precise, and versatile part of the gynecologic surgeon’s utility kit. Use of the CO2 laser is associated with excellent clinical outcomes and may reduce collateral thermal damage, thereby possibly reducing adhesion formation and enhancing future fertility. The ability to choose from several different forms of delivering the laser energy (direct line-of-sight, through a handheld flexible fiber, or via robotic-assisted systems) allows the surgeon to optimize individual surgical therapy. The advantages of CO2 laser in the maximization of fertility outcomes and ovarian preservation may become more and more evident as the technologic development of minimally invasive surgery continues.

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