| Complications and myoma recurrence after laparoscopic uterine artery occlusion for symptomatic myomas. | |
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MedLine Citation:
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PMID: 16445526 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To determine the frequency and severity of complications and the recurrence of fibroids as a result of laparoscopic occlusion of the uterine artery (LOUA) in women with symptomatic fibroids. METHODS: One hundred and fourteen women with symptomatic fibroids were treated using ultrasonically activated shears, clips or electrosurgery. A retrospective evaluation of the complications and recurrence rate was carried out. For each patient, the analysis took place at least 3 months after the procedure was performed. Each complication was categorized using the complication classifications developed by the Czech Society of Gynecologic Endoscopy and a modified set of the classifications of the American College of Obstetricians and Gynecologists. All adverse events that occurred during the follow-up period were included, in addition to those that occurred after the 3 months minimum interval. RESULTS: A total of eight women (7.1%, 95% confidence intervals [CI], 3.3-14.4) experienced complications; one of these women had two complications, resulting in a total of nine adverse events. There were no intraoperative complications and no permanent injuries. Two women required supracervical hysterectomy and myomectomy, respectively, as a result of fibroid necrosis. One patient had an undiagnosed endometrial stromal sarcoma after 12 months of LOUA. The rate of fibroid recurrence was 9.0% (10 patients). The recurrence-free survival interval rate (no clinical failure, no recurrence) at 23.6 months (median) follow-up was 88.3% (CI 84.9-93.5). CONCLUSION: The rate of complications and fibroid recurrence was low in patients undergoing LOUA. |
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Authors:
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Zdenek Holub; Josef Eim; Antonin Jabor; Antonin Hendl; Jan Lukac; Lev Kliment |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: 32 ISSN: 1341-8076 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2006 Feb |
Date Detail:
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Created Date: 2006-01-31 Completed Date: 2006-05-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Japan |
Other Details:
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Languages: eng Pagination: 55-62 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Endoscopic Training Center, Baby Friendly Hospital, Kladno, Czech Republic. holubz@seznam.cz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteries / surgery Female Humans Laparoscopy / adverse effects Leiomyoma / surgery* Middle Aged Neoplasm Recurrence, Local* Postoperative Complications* Retrospective Studies Uterine Neoplasms / surgery* Uterus / blood supply, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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