Abstract
Operations employing laser beams in the field of gynecology have been mainly performed under laparoscope. Since laparoscopic surgery is done in the closed and wet space with limited numbers of accessibilities. characteristics being needed for the laser beam are 1) to pass through water with limitied diminution. 2) to possess both cutting and coagulating abilities, and 3) not to require cooling of the tips, if used. For these reasons we have used a KTP laser. and have found its usefulness in the laparoscopic operations for endometriosis. ectopic pregnancy, and intraabdominal adhesion. KTP is effective not only in laparoscopic surgery but also in ordinary gynecologic operations such as vaginal hysterectomy. We describe the operation procedues employing KTP, discuss its advantages and disadvantages, and finally show the results of the operations.