- Hysteroscopic resection of submucus fibroid using neodymium:yttrium-aluminum garnet (Nd:YAG) laser was first presented by Cornier in 1985.
- CO2 laser is not used in operative hysteroscopy as it cannot be transmitted through flexible optical fibres or a liquid medium.
- In contrast, the Nd:YAG laser is a fibre laser which can be used in liquid. Its primary action is coagulation, but it can also vaporise tissue. Unlike CO2 laser, it is a good haemostat.
- Endometrial laser ablation is a safe and effective alternative to hysterectomy in well trained hands, with very low morbidity and high patient satisfaction rate.
Laser units are associated with high capital and running costs, and surgery is relatively slow. For these reasons, endometrial laser ablation has become part of the history and largely been abandoned in favour of resectoscopy using electrosurgery.