Excision of Endometriosis - Falopian Tube Serosa

Robert Albee, MD

"The UltraPulse carbon dioxide freebeam laser is unique in its ability to excise tissue exactly as intended and with a controllable depth of penetration. Underlying vascularity can often be preserved without any loss in functionality. It has a remarkably limited adjacent zone of injury as can be seen in the above close up photographs. This means there is minimal damage to the surrounding tissue. Healing time is reduced when adjacent cell injury is minimized. Power density and treatment speed can be adjusted easily by changing wattage. This gives the surgeon flexibility to adapt to differing densities of tissues.
Due to the fact that saline absorbs laser energy, the liberal use of irrigation on normal adjacent tissues offers an extra measure of protection from a misfired laser beam. Because of the these advantages of the CO₂ laser in the excision of endometriosis, the objective of complete disease removal with minimal residual tissue trauma is more consistently met. It is no surprise that this treatment results in improved fertility at all stages of the disease. The use of the freebeam laser in laparoscopy requires going through a learning curve and initially easy cases and lesions, treated with lower power settings, are suggested for the advancing surgeon."