[Use of the CO2 laser in tubal microsurgery: comparative study of the results of the lysis of adhesions by laparascopic control on the 8th day. Apropos of 172 cases].

Two groups of microsurgical tubal plastic operations have been compared. The first group consisted of 78 cases carried out without using Laser at the Port-Royal maternity unit, and the second group was of 94 cases where CO2 Laser was used at the Hospital Saint-Jacques. All the patients who had plastic tubal operations with associated lysis of adhesions were followed by laparoscopic assessment on the 8th day after operation to see what the results were. The adhesions in the pelvis were classified according to the international classification of Madrid and the lysis operations were classified according to the type of adhesions, i.e. 2nd degree for Type B adhesions, 3rd degree for severe Type C adhesions. In the 1st group, 136 adnexae were treated, associated with 65 2nd degree lysis procedures and 71 3rd degree procedures. In the 2nd group there were 158 adnexae operated on with 53 lysis of the 2nd degree and 105 of the 3rd degree. Control laparoscopy on the 8th day showed that in the 2nd degree lysis cases there were 15% in the group that were operated on without Laser and 9% in the group that were operated on with Laser. In the 3rd degree lysis cases there were 25% recurrences recurrences without Laser and 19% if the Laser was used. It does seem that using Laser improves the results of operations for lysis of adhesions although there was no statistically significant difference (p greater than 0.05).