| Minimally invasive approach for myomectomy. | |
| | |
MedLine Citation:
|
PMID: 20414845 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Uterine fibroids are the most common benign tumor of the uterus in women of reproductive age. However, most of them are asymptomatic and do not require any treatment. Menorrhagia and pelvic pain are the most usual symptoms, and some women may present with infertility or pregnancy-related complications. In those with abnormal uterine bleeding, one should exclude other causes of abnormal vaginal bleeding including endometrial cancer. Diagnosis of uterine fibroid is established by pelvic ultrasonography with or without saline infusion hysterosonography. Management options depend on the patient's fertility potential and desire for future pregnancy. Submucous myoma should be treated by a hysteroscopic approach. Intramural and subserous myomas in women who opt for nonsurgical treatment could be treated with uterine artery embolization (UAE), high-intensity focused ultrasound (HIFU), or medical treatment such as selective gonadotropin-releasing hormone agonists, progesterone receptor modulators, or aromatase inhibitors. All interventions aside from hysterectomy provide temporary relief, although myomectomy, UAE, and HIFU provides more durable symptom relief relative to current medical management. Patients wishing to preserve their fertility are best treated by myomectomy, which can be done by laparoscopy. A laparoscopic approach is more advantageous than laparotomy, but laparoscopic suturing is more demanding. This can be overcome by robotic-assisted laparoscopic myomectomy. |
| | |
Authors:
|
Mohammed Agdi; Togas Tulandi |
Related Documents
:
|
18619925 - Rudimentary horn pregnancy diagnosed by ultrasound and treated by laparoscopy--a case r... 4050915 - Systemic and uterine responsiveness to angiotensin ii and norepinephrine in estrogen-tr... 3286225 - Vitamin d-dependent calcium binding protein in rat uterus: differential effects of estr... 3390125 - The peptidergic innervation of the guinea pig uterine artery in pregnancy. 14711565 - A new follicle aspiration needle set is equally effective and as well tolerated as the ... 21849765 - Current experience and prospect of internet consultation in fetal cardiac ultrasound. |
Publication Detail:
|
Type: Journal Article; Review Date: 2010-04-22 |
Journal Detail:
|
Title: Seminars in reproductive medicine Volume: 28 ISSN: 1526-4564 ISO Abbreviation: Semin. Reprod. Med. Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-23 Completed Date: 2010-08-03 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100909394 Medline TA: Semin Reprod Med Country: United States |
Other Details:
|
Languages: eng Pagination: 228-34 Citation Subset: IM |
Copyright Information:
|
Thieme Medical Publishers. |
Affiliation:
|
Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Fertility Humans Hysteroscopy Laparoscopy / methods Leiomyoma / diagnosis, surgery*, therapy Postoperative Period Robotics Surgical Procedures, Minimally Invasive* Treatment Outcome Uterine Neoplasms / diagnosis, surgery*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fibroids and reproduction.
Next Document: Uterine artery embolization for fibroids: a review of current outcomes.