PURPOSE To verify the predictors of intravasation rate during hysteroscopy. METHODS Prospective observational study (Canadian Task Force classification II(-1)). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) a...

OBJECTIVE To evaluate the effectiveness of the injection of bupivacaine plus epinephrine before laparoscopic myomectomy. METHODS Sixty premenopausal women with uterine leiomyomata were enrolled in a randomized controlled design and intraoperatively treated with injection of bupivacaine plus epinephrine (group A) or saline solution (group B) during laparoscopic myomectomy. Uterine size and vol...

Uterine fibroids may be encountered with pregnancy and many obstetricians will inevitably confront the dilemma of how best to manage fibroids causing complications in a gravid uterus. We describe two cases of unavoidable caesarean myomectomy and myomectomy performed for the management of complications during pregnancy.

BACKGROUND HOXA11 and HOXA10 are expressed in endometrium throughout the menstrual cycle and show a dramatic increase during the mid-luteal phase at the time of implantation. The expression of these genes is decreased in women with myomas. OBJECTIVE To determine whether myomectomy would reverse HOXA11 and HOXA10 expression, we evaluated the transcript levels of these genes in the endometria o...

BACKGROUND Following myomectomy, postoperative adhesions occur in many patients with adverse effects on fertility. This study investigated the applicability, safety and efficacy of an auto-crosslinked hyaluronan gel in preventing adhesion formation after laparoscopic myomectomy. METHODS Fifty-two patients aged 22-42 years, undergoing surgery at four centres, were randomly allocated to receive...

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...

OBJECTIVES We aimed to evaluate the incidence and features of postoperative adhesion related complications occurring following myolysis or myomectomy performed during cesarean section (C/S). METHODS This cross-sectional study consists of four groups of patients who underwent C/S: group I; myolysis is performed by electric cauterization for small superficial fibroids less than 2 cm. (n: 21), g...

Uterine leiomyomas are common benign solid tumors of the uterus. While presence fibroids is rarely life threatening, they associated with symptoms affecting quality and fertility. Myomectomy a standard fertility-sparing surgery which should be considered for women suffering from fibroid-related who do not desire hysterectomy or any alternative treatment option. open thought to reserved large nu...

abstract background: giant uterine fibroid is a rare tumor of the uterus, usually symptomatic requiring surgical intervention. uterine fibroid is generally common among black women. case presentation: in this study, a case of 31 year old nullipara was reported who presented to the gynaecology unit of enugu state university teaching hospital (esuth), nigeria with a history of progressive abdomin...