[Laparoscopic myomectomy]. / Laparoskopowe leczenie miesniaków macicy.
Ginekol Pol
; 71(5): 413-8, 2000 May.
Article
em Pl
| MEDLINE
| ID: mdl-10943041
ABSTRACT
OBJECTIVES:
The aim of our study was clinical analysis of the factors influencing on laparoscopic myomectomy. STUDYDESIGN:
Retrospective analysis of the operative protocols. MATERIAL ANDMETHODS:
Two hundred nineteen women had laparoscopy because of unexplained infertility (n = 109) unexplained infertility and myomas (n = 41), myomas (n = 36), endometriosis suspicion (n = 20) ovarian cyst (n = 9) or pelvic pain syndrome (n = 4).RESULTS:
Among 299 myomas 186 were extirpated during laparoscopy. In 39 cases suturing of the myometrium was necessary. Electrocautery was performed in 27 cases and laser-vaporisation in 8. In 28 women the operation was postponed because of small myomas and mainly poor operative technique (beginning of the learning curve). In two of them second laparoscopy was performed after GnRH therapy. An analysis of the factors which enable laparoscopic myomectomy was performed. The most important factors are size and number of the myomas, localization in the myometrium, experienced hands and operative room equipment.CONCLUSIONS:
Uterine myomas are one of the indications to operative laparoscopy. Meticulous analysis of the operative conditions as well as the assessment of the team experience should always precede laparoscopy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
/
Neoplasias Uterinas
/
Laparoscopia
/
Mioma
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Pl
Revista:
Ginekol Pol
Ano de publicação:
2000
Tipo de documento:
Article