On September 22, 2000, GYNECARE, a division of ETHICON, INC., undertook a voluntary global withdrawal of the GYNECARE VERSAPOINT Bipolar Electrosurgery System electrodes and handpieces in response to a small number of spontaneous reports of non-fatal air and gas embolism associated with use of the system during hysteroscopic myomectomy procedures. This withdrawal was performed in the interest o...

BACKGROUND Myomectomy has potential risks of complications. To reduce these risks, medical pre-treatment can be applied to reduce fibroid size and thereby potentially decrease intra-operative blood loss, the need for blood transfusion and emergency hysterectomy. The aim of this systematic review and meta-analysis is to study the effectiveness of medical pre-treatment with Gonadotropin-releasing...

BACKGROUND The aim of this study was to present our experience with a novel approach called the pierce and push (PP) method which uses a stainless steel centimeter probe instead of a 5 mm claw forceps to enucleate fibroids in a laparoscopic myomectomy (LM). METHODS A retrospective chart review of 90 women with symptomatic uterine fibroids who underwent an LM was performed. Cases of LM with th...

BACKGROUND Myomectomy is a surgical technique used for removal of uterine fibroids and historically hysterectomy has represented the mainstay of treatment. The options of conservative surgical approaches mainly aim at retention of fertility but have to be balanced against potential risks such as haemorrhage; blood loss at myomectomy still remains troublesome with use of various pharmacologic ag...

occurred to us that cable ties would also make the ideal pericervical tourniquet at open myomectomy. Our preliminary experience has confirmed both their efficacy and ease of use. The measured intraoperative blood loss is similar to previous data from our Unit using conventional triple tourniquets [3,4] as well as other reports of open myomectomy comparable in terms of the number and weight of f...

OBJECTIVE To evaluate the safety of cesarean myomectomy in large myomas sized >5 cm. METHODS One hundred sixty-five pregnant women with myomas who delivered via cesarean section were identified. Ninety-six women had cesarean section without myomectomy, and 65 women underwent cesarean myomectomy. We compared the maternal characteristics, neonatal weight, myoma types, and operative outcomes bet...

Uterine rupture in pregnancy can occur in patients with a history of uterine surgery such as myomectomy and Cesarean section. Here, we report a case of spontaneous uterine rupture that occurred in the early third trimester in a pregnant woman who had previously undergone laparoscopic removal of the right fallopian tube and interstitial portion for treatment of interstitial pregnancy. The patien...

Postsurgical adhesion formation is a common but significant problem. This is the first clinical evaluation of a new barrier material designed to reduce or eliminate postsurgical adhesions. SprayGel can be delivered laparoscopically or via laparotomy to form a strongly adherent hydrogel film. In this multicenter study, we evaluated the safety and effectiveness of SprayGel absorbable adhesion bar...

Acta Obstet Gynecol Scand 2004; 00: 1–2. # Acta Obstet Gynecol Scand 0

OBJECTIVE To retrospectively compare the feasibility, safety, morbidity, and pregnancy outcome of laparoscopy (LPS) and minilaparotomy (LPT) in the treatment of symptomatic uterine myomas. DESIGN Retrospective, nonrandomized study. SETTING Advanced Gynecological Endoscopy Center, Malzoni Medical Center, Avellino, Italy. PATIENT(S) 680 nonconsecutive patients with symptomatic uterine myoma...