OBJECTIVE To compare the pregnancy-related complications after laparoscopic and laparotomic uterine myomectomy. METHODS A retrospective study of 415 women who received laparoscopic (n = 340) or laparotomic (n = 75) resection of uterine leiomyomas in one center. The mean follow-up period was 26.5 months in laparoscopic group and 23.9 months in laparotomic group. RESULTS Fifty-four and 12 pre...

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...

OBJECTIVE To compare the cost and quality-adjusted life-years (QALYs) of hysterectomy, myomectomy, and uterine artery embolization (UAE) for symptomatic control of uterine fibroids. DESIGN A cost-utility analysis conducted by using Markov modeling. SETTING The analysis was conducted from the perspective of Hong Kong society. PATIENT(S) A hypothetical cohort of patients presenting with sym...

I read with great interest Herbert A. Goldfarb and Nicole J. Fanarijan’s article (Laparoscopic-assisted vaginal myomectomy: a case report and literature review. JSLS. 2001;5:81-85). The aim of this article was to present a new minimally invasive technique, laparoscopic-assisted vaginal myomectomy (LAVM), used for removing multiple transmural uterine myomas and faciliting uterine suturing. First...

Vaginal myomectomy is an uncommon but advantageous approach for large interstitial uterine fibroids. Myomectomy is performed via laparotomy and laparoscopy; however, in selected cases, vaginal myomectomy has been proven to be a safe and an effective surgical procedure. We report the case of a 38-year-old para one woman with complaints of chronic lower abdominal pain. Preoperative workup reveale...

Purpose: To compare costs and reimbursements for three different treatments for uterine fibroids. Methods: Costs and reimbursements were collected and analyzed from the Thomas Jefferson University Hospital decision support database from 540 women who underwent abdominal hysterectomy (n = 299), abdominal myomectomy (n = 105), or uterine fibroid embolization (UFE) (n = 136) for uterine fibroids d...

Rupture of gravid uterus is surgical emergency causing maternal and fetal morbidity and mortality. The risk of uterine rupture is associated with uterine scars caused by previous cesarean section, myomectomy, hysteroscopic procedures, and curettage. We report a case of a 40-year-old woman in 31st week of gestation with spontaneous uterine rupture. It was her third pregnancy. She had two healthy...

INTRODUCTION More women are delaying child-bearing such that gynaecologists can no longer resort as frequently to definitive treatments, such as a hysterectomy, in the management of uterine fibroids. A review of newer conservative medical, radiological and surgical therapies and minimal access approaches to the organ-preserving myomectomy operation are discussed. MATERIALS AND METHODS Data fr...

OBJECTIVE The objective of this study was to compare pregnancy outcomes in women with fibromyomata who were treated with uterine artery embolization to the outcomes in women who were treated with laparoscopic myomectomy. STUDY DESIGN We compiled data from 53 pregnancies after uterine artery embolization and 139 pregnancies after laparoscopic myomectomy. We calculated and compared rates for sp...

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 ...