TY - JOUR
T1 - Laparoscopy or laparotomy as the way of entrance in myoma enucleation
AU - Cezar, Cristina
AU - Becker, Sven
AU - di Spiezio Sardo, Attilio
AU - Herrmann, Anja
AU - Larbig, Angelika
AU - Tanos, Vasilis
AU - de la Roche, Luz Angela Torres
AU - Verhoeven, Hugo Christian
AU - Wallwiener, Markus
AU - De Wilde, Rudy Leon
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Purpose: Uterine myomas are the main cause of benign uterine diseases in premenopausal women. Objective of the present paper is to investigate the current best treatment modalities of myomas, depending on age of the patient and her desire to preserve fertility, as well as on clinical presentation of this pathology, such as size, number, and location of fibroids and, furthermore, on surgical experience of the gynecologist. Methods: The design of our work is a systematic literature review of existing studies, reviews, and meta-analysis conducted in PubMed and Cochrane Library to identify relevant literature. Commonly, the myomectomy is to be recommended in women desiring to preserve fertility when myomas are associated with symptoms such as excessive bleeding, pelvic discomfort, or palpable abdominally fibroids. Summary: The decision of surgical approach for myomectomy should be individualized, depending on size and location, as well as on surgeon’s experience. The different modalities of myomectomy, laparoscopic, hysteroscopic, robotic-assisted, or laparotomic are in detail presented in the paper, according to Society of Obstetricians and Gynecologists of Canada (SOGC) clinical practice guidelines and taking into consideration possible concerns of myomectomy such as uterine rupture, development of adhesions, and myomas’ recurrence.
AB - Purpose: Uterine myomas are the main cause of benign uterine diseases in premenopausal women. Objective of the present paper is to investigate the current best treatment modalities of myomas, depending on age of the patient and her desire to preserve fertility, as well as on clinical presentation of this pathology, such as size, number, and location of fibroids and, furthermore, on surgical experience of the gynecologist. Methods: The design of our work is a systematic literature review of existing studies, reviews, and meta-analysis conducted in PubMed and Cochrane Library to identify relevant literature. Commonly, the myomectomy is to be recommended in women desiring to preserve fertility when myomas are associated with symptoms such as excessive bleeding, pelvic discomfort, or palpable abdominally fibroids. Summary: The decision of surgical approach for myomectomy should be individualized, depending on size and location, as well as on surgeon’s experience. The different modalities of myomectomy, laparoscopic, hysteroscopic, robotic-assisted, or laparotomic are in detail presented in the paper, according to Society of Obstetricians and Gynecologists of Canada (SOGC) clinical practice guidelines and taking into consideration possible concerns of myomectomy such as uterine rupture, development of adhesions, and myomas’ recurrence.
KW - Abdominal
KW - Fertility
KW - Hysteroscopic
KW - Laparoscopic
KW - Myomectomy
UR - http://www.scopus.com/inward/record.url?scp=85027835859&partnerID=8YFLogxK
U2 - 10.1007/s00404-017-4490-x
DO - 10.1007/s00404-017-4490-x
M3 - Review article
C2 - 28819682
AN - SCOPUS:85027835859
SN - 0932-0067
VL - 296
SP - 709
EP - 720
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
IS - 4
ER -