Document Detail

[Endocavitary surgical procedures, an alternative to myomectomy in patients with symptomatic fibroids].
MedLine Citation:
PMID:  22100862     Owner:  NLM     Status:  MEDLINE    
Endometrial ablation can be used in heavy menstrual bleeding due to symptomatic submucosal myomas in women without desire of pregnancy. Those methods used alone, lead to an improvement on bleeding but results are not as good as in women without myomas. They can be associated with hysteroscopic myomectomy and, then, the results on bleeding are better than myomectomy alone. Second generation endometrial ablation methods must be used preferentially as they present less surgical complications than first generation methods. As the pregnancies that may occur after endometrial ablation have high risk of complications, a contraceptive mean is highly recommended after surgery. Transcervical sterilisation by intratubal insert (Essure) can also be proposed, but for women with Essure placed before endometrial ablation, only Thermachoice and bipolar resection have proven their safety. Finally, economical outcomes of endometrial ablation in myomas haven't been assessed yet.
I De Jesus
Publication Detail:
Type:  English Abstract; Evaluation Studies; Journal Article; Review     Date:  2011-11-17
Journal Detail:
Title:  Journal de gynécologie, obstétrique et biologie de la reproduction     Volume:  40     ISSN:  1773-0430     ISO Abbreviation:  J Gynecol Obstet Biol Reprod (Paris)     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-29     Completed Date:  2012-03-21     Revised Date:  2014-08-12    
Medline Journal Info:
Nlm Unique ID:  0322206     Medline TA:  J Gynecol Obstet Biol Reprod (Paris)     Country:  France    
Other Details:
Languages:  fre     Pagination:  937-43     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Masson SAS. All rights reserved.
Vernacular Title:
Alternatives endocavitaires à la myomectomie dans le traitement des fibromes symptomatiques.
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MeSH Terms
Contraception / methods
Endometrial Ablation Techniques / methods,  utilization
Gynecologic Surgical Procedures / methods*
Hysteroscopy / methods*
Leiomyoma / complications,  surgery*
Menorrhagia / etiology,  surgery*
Postoperative Complications / etiology,  therapy
Pregnancy Complications, Neoplastic / prevention & control,  therapy
Uterine Neoplasms / complications,  surgery*

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