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Endometriosis View 1
Photograph of uterine surface that is covered with vesicles (fluid filled blebs or blisters). These vesicles are most likely due to chronic (local) irritation, most likely secondary to pelvic endometriosis. When I encounter these abnormalities, I generally use the CO2 laser on char free (ultrapulse) power settings to vaporize (remove) the vesicular lesions as a way to debulk pelvic “irritants” like local (nonvisible) endometriosis. With this technique, I rarely encounter bleeding and on the (few) opportunities that I have had to subsequently re-examine the area (postoperatively) very few adhesions have formed. Therefore, the theoretical benefit of debulking endometriosis appears to outweigh the risks of ablation (removal) with the ultrapulse CO2 laser.
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