Document Detail


Treatment of dysfunctional bleeding and fibroids by advanced endoscopic techniques with the Nd:YAG laser: from the present to the future.
MedLine Citation:
PMID:  7554616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Both the electrical current of the resectoscope and the energy of the Nd:YAG laser have been effective tools in the destruction of endometrial tissue to a sufficient depth to avoid regeneration. GnRH-agonist therapy effects a decrease in the total uterine cavity area which facilitates surgical treatment and reduces the risk of fluid overload syndrome. The recurrence rate of meno/metrorrhagia is higher when the uterine cavity is more than 10 cm2. The use of GnRH-agonists represents an adjunct for preoperative reduction of submucosal myomas so that subsequent hysteroscopic myomectomy is possible. A two-step hysteroscopic therapy combined with GnRH-agonist therapy is performed when the largest portion of the submucosal myoma is located in the uterine wall. In cases of numerous submucosal and intramural myomas, a laparoscopic supracervical hysterectomy is performed because of the high risk of recurrence after the hysteroscopic procedure.
Authors:
J Donnez; R Polet; V Anaf; P E Mathieu; F Casanas-Roux; M Nisolle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Baillière's clinical obstetrics and gynaecology     Volume:  9     ISSN:  0950-3552     ISO Abbreviation:  Baillieres Clin Obstet Gynaecol     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-11-07     Completed Date:  1995-11-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8710782     Medline TA:  Baillieres Clin Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  329-45     Citation Subset:  IM    
Affiliation:
Cliniques Universitaires St-Luc, Catholic University of Louvain, Bruxelles, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Gonadotropin-Releasing Hormone / agonists,  therapeutic use
Humans
Hysteroscopy*
Laser Therapy* / instrumentation,  methods
Leiomyoma / surgery*
Patient Selection
Premedication
Treatment Outcome
Uterine Hemorrhage / surgery*
Uterine Neoplasms / surgery*
Chemical
Reg. No./Substance:
33515-09-2/Gonadotropin-Releasing Hormone

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


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