Document Detail


Directed laparoscopic cryomyolysis: a possible alternative to myomectomy and/or hysterectomy for symptomatic leiomyomas.
MedLine Citation:
PMID:  15041993     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to develop a minimally invasive, safe, and effective technique for managing symptomatic uterine myomas. STUDY DESIGN: Twenty patients with symptomatic uterine fibroids were treated. All had complaints of abnormal bleeding and/or pelvic pain/pressure and/or urinary frequency. Myoma diameters were 4 to 8 cm. Power color Doppler imaging was performed preoperatively and postoperatively to determine the effectiveness of cryomyolysis in reducing or eliminating the primary blood supply, as well as regression of the myomas. Laparoscopic cryomyolysis was performed with use of the Her Option Cryoablation System (American Medical Systems Gynecology, San Diego, Calif). Patients were evaluated at 1, 3, and 6 months postoperatively. RESULTS: All patients were discharged within 24 hours of treatment. No intraoperative or postoperative complications occurred. Of the 20 patients treated, 19 had complete resolution of their complaints. Myomas regressed up to 80%, and major blood supply to the myomas was eliminated. CONCLUSION: Directed laparoscopic cryomyolysis is an effective and safe technique for symptom relief from leiomyomas.
Authors:
Errico Zupi; Alessio Piredda; Daniela Marconi; Duane Townsend; Caterina Exacoustos; Domenico Arduini; Beata Szabolcs
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  190     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-25     Completed Date:  2004-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  639-43     Citation Subset:  AIM; IM    
Affiliation:
Department of Gynecology, Tor Vergata University of Rome, Rome, Italy. ezupi@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Vessels / ultrasonography
Cryosurgery*
Female
Humans
Hysterectomy
Leiomyoma / blood supply,  surgery*,  ultrasonography
Length of Stay
Middle Aged
Myometrium
Surgical Procedures, Minimally Invasive
Treatment Outcome
Uterine Neoplasms / blood supply,  surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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