The purpose of this systematic review is to evaluate if uterine myomas impact the likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes in asymptomatic women. There is insufficient evidence to conclude that the presence of myomas reduces the likelihood of achieving pregnancy. However, there is fair evidence that myomectomy (open or laparoscopic) for cavity-...

Laparoscopic myomectomy offers a real benefit to infertile patients with uterine fibroids and peritoneal adhesions. The procedure requires a skilled surgeon and laparoscopy technique to minimize adhesion formation and other proven benefits. Restrictions arise since this procedure requires power morcellation for fibroid tissue extraction. Two years ago, the Food and Drug Administration in the Un...

Objective: Laparoscopic myomectomy (LM) is one of the most difficult surgical techniques. To complete LM safely, controlling intraoperative bleeding important. In this study, we retrospectively investigated relationships between size and location uterine myomas amount blood loss during at our hospital.

Approximately 50% of women of reproductive age have fibroids, and at least 50% of these women have significant symptoms. However, until 15 years ago, the only surgical options available were hysterectomy and myomectomy, and as yet there are no proven effective long-term medical therapies. Fortunately, the past decade has witnessed the emergence of highly sophisticated diagnostic and therapeutic...

To pilot the utility of an endoscopic robot for use in hysteroscopic myomectomy a porcine uterine tissue model. Previous work has demonstrated potential applications such as polpectomy, lysis intrauterine adhesions, and retained IUD removal. However, can present challenges due to dense leiomyomas, location within myometrium, significant vascularity. In this video, surgeon uses excise leiomyoma ...

OBJECTIVE To conduct a cost effectiveness analysis of pre-operative gonadotrophin releasing hormone agonists (GnRHa) in women with uterine fibroids undergoing hysterectomy or myomectomy. DESIGN A cost effectiveness analysis using the effectiveness data from a systematic review of GnRHa. SETTING Secondary care. SAMPLE Women with uterine fibroids undergoing hysterectomy or myomectomy and wo...

OBJECTIVE To evaluate the safety and efficacy of using bidirectional barbed suture in laparoscopic myomectomy (LM) and total laparoscopic hysterectomy (TLH). METHODS This was a case series of clinical outcomes following 172 consecutive LM and TLH cases over a 1-year period conducted at a university teaching hospital. It included 172 women (ages 17 to 81), requiring a myomectomy or hysterectom...

OBJECTIVE To compare outcomes in patients with symptomatic uterine myomas who underwent laparoscopic (LPS) or minilaparotomic (MLPT) myomectomy. DESIGN Prospective randomized study (Canadian Task Force classification II-2). SETTING University hospital. PATIENTS Eighty patients with no more than 3 uterine myomas of maximal diameter of 7 cm. INTERVENTION Either LPS or MLPT myomectomy. M...

a rare case of non-puerperal uterine inversion caused by a large fundal leiomyoma in a 39-year nulliparous, infertile woman resulting in intractable hemorrhage was reported after a myomectomy. attempts to reduce the inversion vaginally by transecting the anterior and posterior cervix were unsuccessful and a laparotomy was performed. the inversion was not successfully corrected and hysterectomy ...