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Proceedings Paper

Laser-induced interstitial thermotherapy (LITT) for treatment of uterine leiomyomas: 750 myomas were treated by LITT and the results over a five-year period are analyzed
Author(s): Roxana Chapman
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Paper Abstract

Approximately 750 leiomyomas of 250 symptomatic patients were treated by LITT over a five-year period. Only 12% were lost to follow-up. Most were treated by a combination of the KTP/YAG laser, rarely by one or the other alone, and a few with the diode laser. The fiber optic was inserted 2 cm apart and, depending on the size of the tumor, 480 - 20,000 Joules were required. Most were treated laparoscopically but very large myomas were treated percutaneously under ultrasound control. Symptoms were nearly always relieved and the six failures were found to be due to unrecognized adenomyosis and other associated pathology. Half the patients complaining of infertility became pregnant and, in those whose only pathology had been leiomyomas it approached 90%. Vaginal delivery was not found to be contraindicated. Finally, oestrogen receptors and epidermal growth factor were found to be destroyed. It is concluded that LITT enables leiomyomas of all sizes and locations to be treated by a minimally invasive method with preservation of the uterus.

Paper Details

Date Published: 22 May 1997
PDF: 10 pages
Proc. SPIE 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII, (22 May 1997); doi: 10.1117/12.275092
Show Author Affiliations
Roxana Chapman, Univ. College Hospital and Cromwell Hospital (United Kingdom)


Published in SPIE Proceedings Vol. 2970:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII
R. Rox Anderson; Kenneth Eugene Bartels; Lawrence S. Bass; Kenton W. Gregory; David M. Harris; Harvey Lui; Reza S. Malek; Gerhard J. Mueller; Michail M. Pankratov; Aaron P. Perlmutter; Hans-Dieter Reidenbach; Lloyd P. Tate; Graham M. Watson; Harvey Lui; Lawrence S. Bass; R. Rox Anderson; David M. Harris; Michail M. Pankratov; Kenneth Eugene Bartels; Lloyd P. Tate; Gerhard J. Mueller; Hans-Dieter Reidenbach; Graham M. Watson; Reza S. Malek; Aaron P. Perlmutter, Editor(s)

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