| Pregnancy outcome after laparoscopic cryomyolysis of uterine myomas: report of nine cases. | |
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MedLine Citation:
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PMID: 16527717 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To assess pregnancy course and outcome after laparoscopic cryomyolysis. DESIGN: Open, one-arm, observational clinical pilot study. (Canadian Task Force classification II). SETTING: University-affiliated public hospital. PATIENTS: Nine women who underwent laparoscopic cryomyolysis, with nine pregnancies observed. INTERVENTION: Laparoscopic cryomyolysis was performed by penetrating along the long axis of the myoma and provoking freezing at temperature -197 degrees C. MEASUREMENTS AND MAIN RESULTS: After laparoscopic-directed cryomyolysis, pregnant women were evaluated by physical and ultrasonographics examinations. The median time elapsed between cryomyolysis and pregnancy was 14 months (range 7-39 months). At the beginning of pregnancy, the mean volume of myomas was 30.4 mL (range 1.8-124.6 mL). During the first 20 gestational weeks, the mean increase in volume of the nine cryo-treated myomas was 71.1% (range 21.8%-97.7%); the volume of two myomas remained stationary, and two new myomas appeared. Two patients had early miscarriage. Seven pregnancies had a regular course. Four women delivered vaginally, and three by cesarean section. There were no complications in pregnancy, postpartum, and puerperium. No cases of uterine rupture were observed. CONCLUSIONS: The results of this series of nine pregnancies after laparoscopic cryomyolysis are promising. Laparoscopic cryomyolysis does not compromise a good pregnancy outcome and vaginal delivery. These preliminary data need to be confirmed by larger studies. |
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Authors:
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Andrea Ciavattini; Dimitrios Tsiroglou; Pietro Litta; Maddalena Vichi; Andrea Luigi Tranquilli |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of minimally invasive gynecology Volume: 13 ISSN: 1553-4650 ISO Abbreviation: - Publication Date: 2006 Mar-Apr |
Date Detail:
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Created Date: 2006-03-10 Completed Date: 2006-07-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101235322 Medline TA: J Minim Invasive Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 141-4 Citation Subset: IM |
Affiliation:
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Institute of Obstetrics and Gynecology, Università Politecnica delle Marche, Ancona, USA. andreac@univpm.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Apgar Score Cryosurgery / methods* Female Follow-Up Studies Gestational Age Hospitals, University Humans Infant, Newborn Laparoscopy / methods* Leiomyoma / diagnosis, surgery* Maternal Age Pilot Projects Pregnancy Pregnancy Complications, Neoplastic / diagnosis, surgery* Pregnancy Outcome* Prospective Studies Risk Assessment Treatment Outcome Uterine Neoplasms / diagnosis, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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