Uterine myomata: Organ-preserving surgery
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- 作者：Francois Closon ; MD (Fellow of Minimally Invasive Gynecologic Surgery) ; Togas Tulandi ; MD ; MHCM ; togas.tulandi@mcgill.ca" class="auth_mail" title="E-mail the corresponding author (Professor of Obstetrics ; Gynecology ; Milton Leong Chair in Reproductive Medicine)
- 关键词：myoma ; laparoscopic myomectomy ; operative hysteroscopy ; robotic myomectomy ; radiofrequency ablation
- 刊名：Best Practice & Research Clinical Obstetrics & Gynaecology
- 出版年：2016
- 出版时间：August 2016
- 年：2016
- 卷：35
- 期：Complete
- 页码：30-36
- 全文大小：227 K
文摘
Most women with uterine myoma are asymptomatic and do not require any treatment. However, myoma can also lead to menorrhagia, pressure symptoms, abdominal pain, and infertility. Management of symptomatic women with myoma depends on several factors, including age, desire for fertility, and myoma characteristics. Uterine myoma that distorts the uterine cavity, either submucous myoma or intramural myoma, with a submucous component reduces fertility, and is associated with increased uterine bleeding. The treatment of choice is hysteroscopic myomectomy or abdominal myomectomy, preferably by laparoscopy. Robotic assistance in laparoscopic myomectomy leads to outcomes similar to conventional laparoscopic myomectomy. However, it is expensive. Newer techniques include either laparoscopic or transcervical radiofrequency thermal ablation.