CARBON-DIOXIDE LASER-SURGERY

  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (5) , 624-627
Abstract
Lower genital tract intraepithelial neoplasia was the predominant indication for CO2 laser surgery in 203 patients treated at Wayne State University [Detroit, Michigan, USA]. Most patients (119) had cervical intraepithelial neoplasia (CIN) III and, in the 99 patients who were adequately followed, the failure rate following the 1st treatment was 9%. Secondary treatment with laser surgery, cryosurgery or, in 1 instance, hysterectomy, was effective in treating all persistent CIN. Success in treating vaginal intraepithelial neoplasia with laser surgery was most favorable in patients who had not had prior pelvic irradiation. Small (less than 1.5 cm) vulvar intraepithelial neoplasia III was successfully treated in 7 patients. Recalcitrant condyloma acuminata responded well to laser surgery in 31 patients.