Surgical treatment of disseminated forms of external genital endometriosis using CO2 laser

CO2 laser surgery has been performed in 56 patients with external endometriosis which had Stage III-IV dissemination according to the AFS classification (1979). A control group included 20 patients who were operated without using CO2 laser. Analysis of the major operative parameters, such as operation duration, blood loss, length of the postoperative period, febrile response, incidence of postoperative relapses suggested that the use of the laser technically facilitated surgery in patients with disseminated endometriosis, shortened the operation and was associated with a smaller intraoperative blood loss, better postoperative course, more reliable asepsis and ablastics and lower incidence of relapses.