USE OF ABLATIVE CO2 LASER IN THE SURGICAL TREATMENT OF VAGINAL FIBROIDATORS

Abstract

The most common benign pelvic tumors are uterine leiomyomas, and the least common are vaginal smooth muscle. This rare pathology has a conventional surgical solution, cold scalpel, electrosurgical, radiofrequency loop, or instrumental mechanical torsion procedure. Usually its clinical presentation is that of a single, solid, nodular lesion that is easy to manipulate. In this case, a 24-year-old asymptomatic patient came to the consultation, observing, in the speculoscopy, a nodular lesion for the cervical region, being diagnosed as a vaginal fibroid. It was decided as a surgical solution its vaginal approach, which allows the use of a technological tool such as the ablative C02 laser of 15 w of power, to achieve through Selective Photothermolysis cuts, by Photovaporization effect, hemostasis by photocoagulation of small vessels, and tissue regeneration by photothermal effect for its extraction. Locally, no reported cases were found using ablative C02 laser for abdominal or vaginal myomectomy. This technology, due to its benefits in the interaction of light on the tissue, and its maneuverability as an instrument, opens an interesting path in the treatment of these and other pathologies that affect the vaginal and cervical epithelium