Microsurgical laser technique for abdominal myomectomy.

This study was designed to evaluate the applicability of a hand-held CO2 laser combined with microsurgical principles to the abdominal myomectomy in women with menorrhagia and infertility. Seventeen patients with submucous and intracavitary myomata diagnosed by hysterosalpingography were included in this study. The myomectomy technique described was rapid, allowed for excellent intraoperative hemostasis, and resulted in a short, uneventful postoperative hospital stay. In all patients, menstrual pattern returned to normal. Seven out of ten patients who attempted pregnancy succeeded.