Document Detail

Endocavitary surgical procedures, an alternative to myomectomy in patients with symptomatic fibroids.
MedLine Citation:
PMID:  22100862     Owner:  NLM     Status:  Publisher    
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:  JOURNAL ARTICLE     Date:  2011-11-17
Journal Detail:
Title:  Journal de gynecologie, obstetrique et biologie de la reproduction     Volume:  -     ISSN:  0368-2315     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0322206     Medline TA:  J Gynecol Obstet Biol Reprod (Paris)     Country:  -    
Other Details:
Languages:  FRE     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Masson SAS. All rights reserved.
Service de gynécologie-obstétrique, centre hospitalier de Grasse, chemin Clavary, 06130 Grasse, France.
Vernacular Title:
Alternatives endocavitaires à la myomectomie dans le traitement des fibromes symptomatiques.
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