Comparison of surgical and obstetric outcomes in women with uterine leiomyomas after laparoscopic vs. abdominal myomectomy: A single-center cohort study
Source : https://www.frontiersin.org/articles/10.3389/fsurg.2022.997078/full
Our aim was to study the advantages, complications and obstetrical outcomes of laparoscopic myomectomy (LM) compared with abdominal myomectomy (AM). We conducted a retrospective cohort study at La Paz University...
Conclusions: As an alternative to AM, LM can be considered a safe and suitable surgical technique for women of childbearing age, although LM requires longer surgical times and should be performed by surgical teams with a high degree of expertise and experience. A preoperative ultrasound evaluation of the size and number of myomas should be...
Discussion: The patient underwent exploratory laparotomy, which revealed a large mass that originated from her left ovary. She had a normal-appearing appendix, and no intra-abdominal metastases were identified during visualization and palpation of the pelvic and upper abdominal peritoneal surfaces.
Current and emerging treatments for uterine myoma - an update
Source : https://www.tandfonline.com/doi/full/10.2147/IJWH.S15710
Uterine myomas, the most common benign, solid, pelvic tumors in women, occur in 20%-40% of women in their reproductive years and form the most common indication for hysterectomy. Various factors...
Conclusion: Preoperative GnRH-analog treatment before myomectomy decreases the size and vascularity of the myoma but may render the capsule more fibrous and difficult to resect. Uterine artery embolization is an effective standard alternative for women with large symptomatic myomas who are poor surgical risks or wish to avoid major surgery.
Uterine fibroids: current perspectives
Source : https://www.tandfonline.com/doi/full/10.2147/IJWH.S51083
Abstract Uterine fibroids are a major cause of morbidity in women of a reproductive age (and sometimes even after menopause). There are several factors that are attributed to underlie the...
Conclusion: The most practical investigative modality has always been gray-scale ultrasonography, but with the developments of innovative methods of treatments, it is not just enough to diagnose the presence of the fibroid, but also its dynamic relation with surrounding tissue as well. With more and more patients demanding a nonsurgical...
Efficacies of uterine artery embolization for symptomatic uterine fibroids using gelatin sponge: a single-center experience and literature review
Source : https://www.tandfonline.com/doi/full/10.2147/IJWH.S107367
The aim of this study was to retrospectively analyze the efficacies of uterine artery embolization (UAE) using gelatin sponge for symptomatic uterine fibroids.A series of 60 consecutive premenopaus...
Conclusion: UAE using gelatin sponge was associated with a high clinical success rate and good fibroid volume reduction compared to UAE using other embolic agents.