As the scope and the goals of surgery expand, surgical instruments and
techniques undergo progressive development. This is best exemplified
in endoscopic surgery, which has created an ever-increasing demand for
new instruments such as lasers of different wavelengths (CO2, argon,
KTP, Nd:YAG) and new applications of high-frequency electrosurgery to
vaporize, coagulate, ablate, and lyse adhesions or remove entire myoma
ta. The technology has advanced rapidly and it is sometimes difficult
to understand the different applications of the new instruments and ta
ke full advantage of these developments. This article reviews the basi
c principles of the power sources commonly used in gynecologic surgery
and points out their clinical applications.