NABESHIMA,H.,MURAKAMI,T.,SATO,Y.,TERADA,Y.,YAEGASHI,N.and OKAMURA,K. Successful Pregnancy after Myomectomy Using Preoperative Adjuvant Uterine Artery Embolization. Tohoku J.Exp.Med.,2003,200(3),145149――A 30-year-old-woman presented with uterine leiomyoma and primary sterility.Abdominal myomectomy was performed;however,one cervical leiomyoma was not resected because of a risk of excessive blood ...

Endometriosis is defined by the presence of ectopic endometrial tissue outside the uterine cavity. Despite being a lead cause of chronic pelvic pain and infertility, its clinical presentation can vary, leading to diagnostic and therapeutic challenges. Extra-pelvic endometriosis is particularly difficult to diagnose owing to its ability to mimic other conditions. Endometrial tissue in a surgical...

background: in fertile women, glycodelin and glutathione peroxidase 3 (gpx3) genes expression rises during the luteal phase, with a peak occurring during the implantation window. the expression of these genes decreases in women with myomas. to determine whether myomectomy would reverse glycodelin and gpx3 expression, we evaluated the transcript levels of these genes in the endometrium of patien...

Following myomectomy the rate of fertility is restored and pregnancy may be attempted with a good outcome. In the present study a 3 month treatment with OCs in a group of women after a myomectomy was evaluated. The drug compliance and side effects, the benefits of OC in order to reduce symptoms, to increase post-surgical hemoglobin levels and to avoid an early pregnancy after myomectomy were an...

BACKGROUND Leiomyomata is the most frequent gynecological neoplasm. One of the major complications of myomectomy is intrauterine adhesion (synechiae). OBJECTIVE To evaluate and compare the rate and severity of synechiae formation after myomectomy by laparotomy and laparoscopy. MATERIALS AND METHODS In this non-randomized interventional trial, hysteroscopy was performed in all married fertil...

INTRODUCTION Uterine leiomyomas are the most common benign gynecologic tumors. To date laparoscopy myomectomy is the gold standard for treatment of symptomatic fibroids in reproductive-aged women. Detailed counseling about the effects of this procedure on postoperative sexuality and quality of life is important in these patients. However, available data on these subjects are limited and contrad...

BACKGROUND AND OBJECTIVE A recent FDA safety communication has discouraged the use of a power morcellator for myoma extraction and has called for a change in surgical techniques for myomectomy. The objective of this study was to compare surgical outcomes of laparoscopic single-, two-, and conventional three-port myomectomy and to evaluate the feasibility of contained manual morcellation for ute...

background: leiomyomata is the most frequent gynecological neoplasm. one of the major complications of myomectomy is intrauterine adhesion (synechiae). objective: to evaluate and compare the rate and severity of synechiae formation after myomectomy by laparotomy and laparoscopy. materials and methods: in this non-randomized interventional trial, hysteroscopy was performed in all married fertile...

Background: Leiomyomas cause significant morbidity due to abnormal uterine bleeding and pelvic pressure symptoms. Carbetocin is a long-acting synthetic agonist analogue of the human oxytocin which induces contractions. The study aims compare intravenous carbetocin clinical effect its myometrial injection decrease blood loss in myomectomy operation. Methods: This randomized controlled involved 6...

OBJECTIVE The purpose of this case series was to retrospectively examine records of cases with uterine rupture in pregnancies following myomectomy and to describe the clinical features and pregnancy outcomes. METHODS This study was conducted as a multicenter case series. The patient databases at 7 tertiary hospitals were queried. Records of patients with a diagnosis of uterine rupture in the ...