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The Journal of International Medical... Sep 2019This study was performed to compare the clinical outcomes, advantages, and disadvantages of laparoscopic myomectomy (LM) and transcervical resection of myoma (TCRM) in... (Comparative Study)
Comparative Study
OBJECTIVE
This study was performed to compare the clinical outcomes, advantages, and disadvantages of laparoscopic myomectomy (LM) and transcervical resection of myoma (TCRM) in the treatment of type II submucous myoma.
METHODS
In total, 136 patients with type II submucous myoma with a tumour diameter of 4 to 5 cm were randomly assigned to the hysteroscopy group or laparoscopy group.
RESULTS
The operative duration was shorter and the intraoperative bleeding volume was lower in the hysteroscopy than laparoscopy group. The success rate of the single-stage operation was obviously higher in the laparoscopy than hysteroscopy group. The duration of postoperative antibiotic use and the length of hospital stay were shorter in the hysteroscopy than laparoscopy group. The time to complete healing of the muscle layer was shorter in the hysteroscopy than laparoscopy group. The rate of intraoperative complications was lower in the hysteroscopy than laparoscopy group.
CONCLUSION
Both hysteroscopic and laparoscopic surgery have beneficial effects in the treatment of type II submucous myoma. Hysteroscopic surgery has the advantages of a short operative duration, low intraoperative bleeding volume, fast postoperative recovery, and high quality of life. Laparoscopic surgery involves many intraoperative complications and slow recovery of ovarian function.
Topics: Female; Humans; Hysteroscopy; Laparoscopy; Middle Aged; Myoma; Ovary; Postoperative Care; Quality of Life; Treatment Outcome; Uterine Neoplasms
PubMed: 31280641
DOI: 10.1177/0300060519858027 -
Fertility and Sterility Aug 2009To determine the optimal surgical approach when patients are treated with laparoscopic uterine vessel occlusion (LUVO) combined with myomectomy in the management of...
OBJECTIVE
To determine the optimal surgical approach when patients are treated with laparoscopic uterine vessel occlusion (LUVO) combined with myomectomy in the management of women with symptomatic uterine fibroids.
DESIGN
An observational study.
SETTING
Medical centers.
PATIENT(S)
One hundred thirty-one patients with symptomatic myomas underwent LUVO plus laparoscopic myomectomy (LM; LUVO+LM) (n = 49) or LUVO plus ultra-mini laparotomy UMLT-M (LUVO+UMLT-M) (n = 82).
INTERVENTION(S)
Myomectomy through laparoscopy or UMLT access.
MAIN OUTCOME MEASURE(S)
The outcome was measured by comparing surgical techniques, and 3-year follow-up, including symptom control and reintervention (hysterectomy or myomectomy), in both groups.
RESULT(S)
General characteristics of the patients were similar in both groups, except the number of myomas. Surgical techniques seemed to be easier in the LUVO+UMLT-M group than in LUVO+LM group, because of less operation time (56.1 +/- 16.9 minutes vs. 73.4 +/- 26.9 minutes; P=.009) and a higher success rate (100% vs. 91.8%; P=.018). There were no differences in the 3-year follow-up of the therapeutic outcomes of the LUVO+UMLT-M and LUVO+LM groups, with low reintervention rates (1.2% vs. 0) and good symptom control rates in both groups.
CONCLUSION(S)
The LUVO+LM, either through laparoscopy or UMLT, was acceptable in the management of symptomatic uterine fibroids. However, the LUVO+UMLT-M technique might be more feasible, as it required less operative time and had a higher success rate.
Topics: Adult; Female; Gynecologic Surgical Procedures; Hemostasis, Surgical; Humans; Laparoscopy; Leiomyoma; Myoma; Uterine Neoplasms; Uterus
PubMed: 18930209
DOI: 10.1016/j.fertnstert.2008.06.038 -
Polski Przeglad Chirurgiczny Oct 1970
Topics: Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Myoma; Prognosis; Radiography; Stomach Neoplasms; Time Factors
PubMed: 5481399
DOI: No ID Found -
Ginecologia Y Obstetricia de Mexico Dec 2015To describe the clinical-diagnostic importance of cystic appearance of a cervical myoma large elements result produced secondary
OBJECTIVES
To describe the clinical-diagnostic importance of cystic appearance of a cervical myoma large elements result produced secondary
METHOD
We described a case of a 40-year-old with abdominal discomfort producing difficulty walking, dyspareunia, urinary retention seven months of evolution. The USG diagnosis was a cystic mass consistent with a right ovarian cyst. The surgical abdominal total hysterectomy is performed.
RESULTS
Histopathological study of approximately 1 3x6 cm uterus with myoma fund of approximately 4 cm and myoma level cervical posterior surface of 15x12 cm.
Topics: Adult; Female; Humans; Hysterectomy; Myoma; Ovarian Cysts; Urinary Retention; Uterine Cervical Neoplasms
PubMed: 27290805
DOI: No ID Found -
Current Opinion in Obstetrics &... Aug 2022The last decade has witnessed a radical change in the field of reproductive surgery. The increasing success of in-vitro fertilization (IVF) has caused a huge shift in... (Review)
Review
PURPOSE OF REVIEW
The last decade has witnessed a radical change in the field of reproductive surgery. The increasing success of in-vitro fertilization (IVF) has caused a huge shift in emphasis with many downstream consequences. This review outlines the changes and provides insight into the future of reproductive surgery.
RECENT FINDINGS
With compelling evidence that IVF overcomes the detrimental effects of endometriosis on infertility and with two new oral medications available for management of endometriosis, momentum is shifting towards nonsurgical management of endometriosis. There is increasing recognition that except for submucous myomas, other myomas are unlikely to affect fertility and miscarriage. This, in addition to many emerging alternative modalities for management of myomas (oral GnRH antagonists, radiofrequency ablation), is likely to further decrease classic myomectomies but provide alternative, less invasive options. Caesarean scar defects have been recognized as having significant reproductive consequences and surgical management has become the standard of care. Fallopian tubes are now implicated in development of ovarian cancer, and as a result, salpingectomies are being performed in lieu of tubal ligations. Tubal anastomosis will soon become a historical surgery. Division of uterine septum remains controversial, and a clear answer will remain elusive. Uterine transplant is the single most significant advance in reproductive surgery in the past century.
SUMMARY
Reproductive surgery is evolving with the times. Although some surgical techniques will become historical, others will become mainstream.
Topics: Endometriosis; Fallopian Tubes; Female; Fertilization in Vitro; Humans; Infertility, Female; Myoma; Pregnancy
PubMed: 35895956
DOI: 10.1097/GCO.0000000000000797 -
Journal of Cutaneous Pathology Mar 2006We describe a case of a cutaneous perivascular myoma with features overlapping between the myofibromatosis and the myopericytoma type. The patient is a 58-year-old woman...
We describe a case of a cutaneous perivascular myoma with features overlapping between the myofibromatosis and the myopericytoma type. The patient is a 58-year-old woman with a painless plaque-like and multinodular lesion in the pretibial dermis and subcutaneous tissue. She had repeated trauma to this site, first in her early youth that left an area of hyperpigmentation, and then again at age 40. The biopsy showed a biphasic pattern with a myofibromatosis-type component composed of spindle cell myoid nodules and more cellular round cell areas. The myopericytoma-like areas appeared to be infiltrating along vessels. These areas contained aggregates of immature-appearing cells arranged concentrically around vascular lumina in a manner reminiscent of pericytes. Immunohistochemical stains showed focal positivity for smooth muscle actin. Immunohistochemical and ultrastructural studies have showed these pericyte-like cells to be of a myoid origin. The reason for the neoplastic proliferation of perivascular myoid cells is presently unknown. The association of trauma and neoplastic transformation of the skin is rare. We report the first case of a cutaneous perivascular myoma arising in a chronic scar.
Topics: Biomarkers, Tumor; Chronic Disease; Cicatrix; Female; Hemangiopericytoma; Humans; Immunoenzyme Techniques; Middle Aged; Myofibromatosis; Myoma; Neoplasms, Vascular Tissue; Pericytes; Skin Neoplasms; Treatment Outcome
PubMed: 16466511
DOI: 10.1111/j.0303-6987.2006.00401.x -
Zentralblatt Fur Allgemeine Pathologie... Jul 1952
Topics: Myoblasts; Myoma
PubMed: 12984739
DOI: No ID Found -
Journal of Minimally Invasive Gynecology 2008Two cases of pelvic schwannoma appeared as broad ligament myoma. Laparoscopic myomectomy was planned for both patients in view of suspected broad ligament myoma....
Two cases of pelvic schwannoma appeared as broad ligament myoma. Laparoscopic myomectomy was planned for both patients in view of suspected broad ligament myoma. Intraoperative findings appeared to be degenerated myomas with suggestion of malignancy. Both patients underwent complete tumor excision laparoscopically and had uneventful postoperative recovery. Histopathologic examination confirmed them to be schwannomas. Solitary nerve sheath tumors such as benign schwannomas arising in pelvic retroperitoneum are infrequently reported and difficult to diagnose preoperatively. Complete surgical excision is the treatment of choice. Benign retroperitoneal schwannomas in 2 patients primarily given the diagnosis of myoma were treated by laparoscopic excision. A MEDLINE search did not reveal reports of removing these tumors laparoscopically.
Topics: Adult; Broad Ligament; Female; Genital Neoplasms, Female; Humans; Middle Aged; Myoma; Neurilemmoma; Retroperitoneal Neoplasms
PubMed: 18312995
DOI: 10.1016/j.jmig.2007.09.009 -
Medicina Cutanea Ibero-latino-americana 1985A female patient presented with a tumoral lesion of the areola of the left breast; the lesion surrounded the nipple. Histopathologically there was proliferation of...
A female patient presented with a tumoral lesion of the areola of the left breast; the lesion surrounded the nipple. Histopathologically there was proliferation of smooth muscle fibers of the middle and deep layers of the dermis; the papillary dermis was not affected. Myomas in this site do not present the typical characteristics of other kinds of leiomyomas, including those of the scrotum. Therefore, mamillary muscle myomas should not be considered authentic tumors, but rather smooth muscle hyperplasias.
Topics: Breast Neoplasms; Female; Humans; Middle Aged; Myoma; Nipples
PubMed: 3914592
DOI: No ID Found -
Journal of Minimally Invasive Gynecology 2015
Topics: Adult; Broad Ligament; Female; Humans; Infertility, Female; Laparoscopy; Leiomyoma; Myoma; Treatment Outcome
PubMed: 25305571
DOI: 10.1016/j.jmig.2014.10.003