LAPAROSCOPIC MYOLYSIS WITH THE ND-YAG LASER

Laparoscopic myomectomy can be carried out in cases of subserosal and intramural fibroids. Laparoscopic myolysis can be proposed as an alter native to laparoscopic myomectomy in cases of large or multiple intram ural fibroids in women aged over 40 or not desiring to bear more child ren but wishing to avoid a future hysterectomy. The authors report the technique and the long-term results in a series of 48 women with fibr oids treated by myolysis. Because of the risk of bowel adhesions, furt her studies with another type of laser fiber are required.