893 results match your criteria invasive myomectomy


Myoma Expulsion after Uterine Artery Embolization.

Case Rep Surg 2021 8;2021:6644229. Epub 2021 Sep 8.

Department of Medicine of Faculty of Medicine of Marilia, 17519-060, Marilia, SP, Brazil.

Introduction: Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. Ideal candidates for UAE are women with symptomatic uterine leiomyomas that present no desire for pregnancy, premenopausal and heavy menstrual bleeding, or dysmenorrhea caused by intramural fibroids. Read More

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September 2021

Evolution of laparoscopic myomectomy and description of two hemostatic techniques in a large teaching gynecological center.

Eur J Obstet Gynecol Reprod Biol 2021 Aug 26;265:181-189. Epub 2021 Aug 26.

Department of Obstetrics, Gynecology and Assisted Reproduction, Hospital Universitari Dexeus, Barcelona, Spain.

Objective: To provide a description of laparoscopic myomectomy and the two hemostatic techniques performed over the last 11 years in a single reference center for gynecology and obstetrics and to evaluate the factors associated with favorable surgical outcomes.

Study Design: We retrospectively analyzed 625 who underwent laparoscopic myomectomy from January 2009 to December 2019.

Results: Of 625 patients, 437 (69. Read More

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Single-Incision versus Multiport Robotic Myomectomy: A Propensity Score Matched Analysis of Surgical Outcomes and Surgical Tips.

J Clin Med 2021 Aug 31;10(17). Epub 2021 Aug 31.

Department of Obstetrics and Gynecology, Seoul Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea.

We aimed to compare the perioperative outcomes of single-incision robotic myomectomy (SIRM) and multiport robotic myomectomy (MPRM) and provide surgical tips. We retrospectively analyzed the medical records of 462 patients with symptomatic leiomyoma who underwent MPRM or SIRM between March 2019 and April 2021. Demographic characteristics and surgical outcomes, including the total operative time (OT), estimated blood loss (EBL), and surgical complication rate, were compared between the two groups. Read More

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Pregnancy Outcome after Vaginal Natural Orifice Transluminal Endoscopic Surgery, a First Retrospective Observational Cohort Study.

Gynecol Obstet Invest 2021 Sep 8:1-6. Epub 2021 Sep 8.

Department of Obstetrics and Gynecology, Imelda Hospital, Bonheiden, Belgium.

Study Objective: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel minimal invasive surgical technique allowing a variety of gynecological procedures. The current literature describes improved patient comfort, improved better cosmetic results, and reduced operation time. This is a first study to assess pregnancy outcome after fertility-preserving vNOTES procedures. Read More

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September 2021

Each Uterus Counts: A narrative review of health disparities in benign gynaecology and minimal access surgery.

Eur J Obstet Gynecol Reprod Biol 2021 Aug 25;265:130-136. Epub 2021 Aug 25.

Whipps Cross Hospital, United Kingdom.

Introduction: Health disparities exposed by the Covid-19 pandemic have prompted healthcare professionals to investigate disparities within their own specialty. Racial and ethnic disparities in obstetrics are well documented but inequities in gynaecology are less well known. Our aim is to review the literature on two commonly performed procedures, hysterectomy and myomectomy, and one condition, ectopic pregnancy, to evaluate the prevalence of racial, ethnic and socioeconomic disparities in benign gynaecology and minimal access surgery. Read More

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Metastatic Smooth Muscle Tumor of Uncertain Malignant Potential after Laparoscopic Presuming Myomectomy.

Gynecol Minim Invasive Ther 2021 Jul-Sep;10(3):187-190. Epub 2021 Aug 3.

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan.

A 38-year-old para-2 female underwent laparoscopic myomectomy with uncontained morcellation. Three years later, she complained of epigastric pain. An intraperitoneal 3 cm mass beneath the umbilicus was showed on computed tomography (CT) scan. Read More

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A Systematic Review of Minimally Invasive Treatments for Uterine Fibroid-Related Bleeding.

Reprod Sci 2021 Sep 3. Epub 2021 Sep 3.

Division of Reproductive Sciences & Women's Health Research, Department of Gynecology & Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Newer minimally invasive techniques provide treatment options for symptomatic uterine fibroids while allowing uterus preservation. The objective of this review was to analyze the efficacy of uterine-preserving, minimally invasive treatment modalities in reducing fibroid-related bleeding. A comprehensive search was conducted of PubMed, Embase, PsycINFO, ClinicalTrials. Read More

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September 2021

Minimal Invasive Myomectomy with Morcellation for Giant Myoma: A Challenge or a Questionable Approach?

J Menopausal Med 2021 Aug;27(2):106-107

Athens Colorectal Laboratory, Athens, Greece.

This study aimed to discuss the possible role of morcellation for a giant myoma in the minimal invasive approach. Current literature, including U.S. Read More

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Response to Letter to the Editor Regarding "Optimal Dose of Pituitrin in Laparoscopic Uterine Myomectomy: a Prospective, Double-Blinded, Randomized Controlled Trial".

J Minim Invasive Gynecol 2021 Aug 25. Epub 2021 Aug 25.

Department of Anesthesia, Women's Hospital, Zhejiang University School of Medicine. Electronic address:

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Regarding "Optimal Dose of Pituitrin in Laparoscopic Uterine Myomectomy: a Prospective, Double-Blinded, Randomized Controlled Trial".

Authors:
Devon Evans

J Minim Invasive Gynecol 2021 Aug 24. Epub 2021 Aug 24.

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

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Interstitial Ectopic Pregnancy and Laparoscopic Removal of the Interstitial Portion of the Tube: the New Frontier?

J Med Cases 2020 Aug 21;11(8):229-233. Epub 2020 Jul 21.

Department of Minimally Invasive Surgery, KK Women's and Children's Hospital, Singapore.

We present a case of a 40-year-old lady with 9 weeks of amenorrhea diagnosed with an interstitial pregnancy and multiple uterine fibroids. She underwent laparoscopic salpingectomy including the interstitial part of fallopian tube with products of conception without myomectomy and cornuostomy. Intra-operative blood loss was minimal. Read More

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Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids.

JBRA Assist Reprod 2021 Aug 20. Epub 2021 Aug 20.

Resident of Human Reproductive Medicine at Ángeles del Pedregal Hospital, Mexico City, Mexico.

Objective: To compare approaches to myomectomy (laparotomic, laparoscopic, and robotic). To show the relationship between the number of fibroids and the reproduction diagnosis.

Methods: Observational, analytical, retrospective, and cross-sectional study; where the surgical approach used, was evaluated in terms of surgical bleeding, time, number and weight of fibroids and reproductive results. Read More

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Safety and Efficacy of a Novel Barrier Film to Prevent Intrauterine Adhesion Formation after Hysteroscopic Myomectomy: The PREG1 Clinical Trial.

J Minim Invasive Gynecol 2021 Jul 31. Epub 2021 Jul 31.

Department of Obstetrics and Gynaecology, Bicêtre Hospital, Le Kremlin-Bicêtre (Drs. Capmas, Debras, and Fernandez).

Study Objective: To evaluate the safety and potential efficacy of a novel degradable polymer film (DPF) designed to act as a 7-day barrier to prevent intrauterine adhesions (IUAs) after hysteroscopic myomectomy.

Design: A prospective single-arm, first-in-human clinical study.

Setting: Multicenter study involving 6 centers in France, Belgium, and the Netherlands. Read More

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Uterine Fibroids in Black Women: A Race-Stratified Subgroup Analysis of Treatment Outcomes After Laparoscopic Radiofrequency Ablation.

J Womens Health (Larchmt) 2021 Jul 20. Epub 2021 Jul 20.

George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.

The disease and treatment burden of uterine fibroids (UF) in Black women is substantially greater compared with other racial groups, with higher rates of complications and poorer outcomes with both hysterectomy and myomectomy. The inequities in the access Black women have to minimally invasive routes of surgery contribute to their burden of illness. Laparoscopic radiofrequency ablation (LAP-RFA) is a minimally invasive, safe, and effective uterine-sparing treatment option. Read More

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Efficacy of Uterine Artery Embolization for Treatment of Anticoagulant-Associated Abnormal Uterine Bleeding.

J Minim Invasive Gynecol 2021 Jul 17. Epub 2021 Jul 17.

Division of Vascular and Interventional Radiology, Department of Radiology (Drs. Wattamwar, Cynamon, and Golowa).

Study Objective: Data regarding uterine artery embolization (UAE) to specifically treat anticoagulant-associated iatrogenic abnormal uterine bleeding (AUB-I) are sparse. This manuscript aimed to quantify the effectiveness of UAE in treating this subset of patients.

Design: Retrospective case series. Read More

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Superior Hypogastric Plexus Nerve Block in Minimally Invasive Gynecology: A Randomized Controlled Trial.

J Minim Invasive Gynecol 2021 Jun 29. Epub 2021 Jun 29.

Sydney Women's Endosurgery Centre, St George Private Hospital (Drs. De Silva, Daniels, Bukhari, Choi, Rosen, Cario, and Chou).

Study Objective: To assess the efficacy of a superior hypogastric plexus nerve block in reducing opioid requirements in the first 24 hours after minimally invasive gynecologic surgery.

Design: Patient-blinded randomized controlled trial.

Setting: Single-center academic institution (Sydney Women's Endosurgery Centre). Read More

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Laparoscopic Management of Myomectomy Scar Pregnancy after a Cryopreserved Embryo Transfer.

J Minim Invasive Gynecol 2021 Jun 28. Epub 2021 Jun 28.

Department of Gynecology, Southern University of Science and Technology Hospital, Shenzhen (Dr Pan), Guangdong, People's Republic of China. Electronic address:

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Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study.

Int J Gynaecol Obstet 2021 Jul 1. Epub 2021 Jul 1.

Department of Obstetrics and Gynecology, Medical School, University of Bari, Bari, Italy.

Objective: To describe the characteristics and peripartum outcomes of patients diagnosed with uterine rupture (UR) by an observational cohort retrospective study on 270 patients.

Methods: Demographic information, surgical history, symptoms, and postoperative outcome of women and neonates after UR were collected in a large database. The statistical analysis searched for correlation between UR, previous uterine interventions, fibroids, and the successive perinatal outcomes in women with previous UR. Read More

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Can uterine artery embolization be an alternative to plastic and reconstructive uterus operation by minimally invasive surgery?

GMS Interdiscip Plast Reconstr Surg DGPW 2021 9;10:Doc07. Epub 2021 Jun 9.

University Hospital for Gynecology, Pius Hospital, Carl von Ossietzky University Oldenburg, Germany.

Plastic and reconstructive minimally invasive surgery has been established as gold standard in myomectomy. Therapy failure eventually leads to future surgical interventions or hysterectomy: surgeons and patients should be aware of the risks and benefits. We conducted a systematic review to analyse the evidence on the therapeutic indications and adverse events associated with uterine artery embolization and thereby evaluating if this method could be a valid alternative therapy. Read More

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Fertility and Pregnancy Outcomes After Robotic-assisted Laparoscopic Myomectomy in a Canadian Cohort.

J Minim Invasive Gynecol 2021 Jun 27. Epub 2021 Jun 27.

Department of Obstetrics and Gynaecology, University of Toronto (Drs. Goldberg, McCaffrey, and Kives); Department of Obstetrics and Gynaecology, St. Michael's Hospital (Drs. McCaffrey, Amjad and Kives), Toronto, Ontario, Canada. Electronic address:

Study Objective: Myomectomy is the gold standard treatment for patients with symptomatic fibroids who desire fertility preservation. Given the relatively recent application of robotic surgery in the field of gynecology, there is only a small amount of data describing fertility outcomes after robotic-assisted laparoscopic myomectomy (RALM). The objective of this study was to determine the pregnancy rate in patients trying to conceive after RALM. Read More

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Rethinking Disparities in Minimally Invasive Myomectomy: Identifying Drivers of Disparate Surgical Approach to Myomectomy Between African American and White Women.

J Minim Invasive Gynecol 2021 Jun 27. Epub 2021 Jun 27.

Division of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco. Electronic address:

Study Objective: To identify drivers of disparities among patients undergoing surgical management of fibroids when stratified by self-identified patient race.

Design: This is a retrospective IRB-approved chart review of all patients who underwent a myomectomy at a large academic center. Surgical approach to myomectomy was classified as abdominal, laparoscopic, or robotic-assisted laparoscopic. Read More

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Reproductive Outcomes after Laparoscopic Myomectomy: Conventional versus Barbed Suture.

J Minim Invasive Gynecol 2021 Jun 25. Epub 2021 Jun 25.

Centre for Advanced Endoscopy & Infertility, Paul's Hospital, Kochi, India (all authors).

Study Objective: To study the reproductive outcomes after laparoscopic myomectomy comparing conventional (nonbarbed) suture with barbed suture used for myometrial defect closure.

Design: Monocentric retrospective cohort study with prospective follow-up survey for reproductive outcomes conducted in April and May 2020.

Setting: Tertiary care center (center for advanced gynecologic laparoscopy and infertility). Read More

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Operative and Obstetric Outcomes after Single-port Laparoscopic Myomectomy: A Retrospective Single-center Analysis of 504 Cases.

J Minim Invasive Gynecol 2021 Jun 20. Epub 2021 Jun 20.

Department of Obstetrics and Gynecology, Seoul National University College of Medicine (Drs. Hong, Kim, Lee, and Suh), Seoul, South Korea; Department of Surgical Oncology, Sheikh Khalifa Specialty Hospital (Dr. Suh), Ras Al Khaimah, United Arab Emirates.

Study Objective: To analyze the obstetric and operative outcomes of 504 cases of single-port laparoscopic myomectomy (SPLM).

Design: Single-center retrospective study.

Setting: A tertiary university hospital. Read More

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How to minimize bleeding in laparoscopic myomectomy.

Curr Opin Obstet Gynecol 2021 08;33(4):255-261

Minimally Invasive Gynecological Surgery Program, Hospital BP - A Beneficência Portuguesa de São Paulo.

Purpose Of Review: Laparoscopic myomectomy is a common surgical procedure for symptomatic myomas. However, bleeding control during surgery may pose a challenge. Therefore, the aim of this study was to review recent evidence regarding interventions to control bleeding during laparoscopic myomectomy. Read More

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Optimal Dose of Pituitrin in Laparoscopic Uterine Myomectomy: A Double-Blinded, Randomized Controlled Trial.

J Minim Invasive Gynecol 2021 Jun 18. Epub 2021 Jun 18.

Departments of Anesthesia (Drs. Guo, Jiao, L. Xu, and Xinzhong). Electronic address:

Study Objective: To determine the optimal effective dose of pituitrin in laparoscopic myomectomy for uterine leiomyoma.

Design: Double-blinded, randomized controlled trial.

Setting: Tertiary women's hospital in China. Read More

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Comparison of High-Intensity Focused Ultrasound and Conventional Surgery for Patients with Uterine Myomas: A Systematic Review and Meta-Analysis.

J Minim Invasive Gynecol 2021 Jun 11. Epub 2021 Jun 11.

Division of General Surgery, Department of Surgery (Dr. Tam), Taipei Medical University, Taipei, Taiwan; Center for Evidence-Based Health Care, (Dr. Tam), Taipei Medical University, Taipei, Taiwan; Division of General Surgery, Department of Surgery (Dr. Tam), Taipei Medical University, Taipei, Taiwan; Shuang Ho Hospital, and Cochrane Taiwan (Dr. Tam), Taipei Medical University, Taipei, Taiwan. Electronic address:

Objective: Uterine myomas are one of the most common gynecologic tumors in premenopausal women. The conventional surgical treatments are myomectomy and hysterectomy, but high-intensity focused ultrasound (HIFU) is a new noninvasive treatment creating no surgical wound. The aim of this study was to evaluate the effectiveness and safety of HIFU treatment compared with conventional surgery for patients with uterine myomas. Read More

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Hysteroscopy-assisted laparoscopic salpingectomy for interstitial pregnancy without cornual resection.

Fertil Steril 2021 09 9;116(3):909-911. Epub 2021 Jun 9.

Reproductive Biology Associates, Atlanta, Georgia.

Objective: To illustrate a novel surgical management technique for interstitial ectopic pregnancies (IP).

Design: Video description of the case, demonstration of the surgical technique, reevaluation at the 6-week postoperative follow-up, and review of the advantages of this surgical technique for IP.

Setting: Tertiary referral center. Read More

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September 2021

Systematic review of reproductive outcomes after High Intensity Focused Ultrasound treatment of uterine fibroids.

Eur J Radiol 2021 Aug 27;141:109801. Epub 2021 May 27.

Department of Radiology, Isala hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.

Purpose: Myomectomy is currently the gold standard for the treatment of uterine fibroids in women who desire pregnancy. However, this surgical fibroid removal has a long convalescence. Promising alternatives may be non-invasive High Intensity Focused Ultrasound (HIFU) under either MRI (MR-HIFU) or ultrasound guidance (USgHIFU). Read More

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Robotic single-site versus multi-port myomectomy: a case-control study.

BMC Surg 2021 May 27;21(1):264. Epub 2021 May 27.

Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Background: This study aimed to evaluate the compatibility of robotic single-site (RSS) myomectomy in comparison with the conventional robotic multi-port (RMP) myomectomy to achieve successful surgical outcomes with reliability and reproducibility.

Methods: This retrospective case-control study was performed on 236 robotic myomectomies at a university medical center. After 1:1 propensity score matching for the total myoma number, total myoma diameter, and patient age, 90 patients in each group (RSS: n = 90; RMP: n = 90) were evaluated. Read More

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A Suturing Method without Exposure of Barbs on the Wound Surface Using a Unidirectional Barbed Monofilament Absorbable Suture (STRATAFIX™) in Laparoscopic Myomectomy: A Feasibility Study.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):104-108. Epub 2021 Apr 30.

Department of Gynecological Oncology, Kawasaki Medical School, Kurashiki, Japan.

Objectives: We examined whether a new suturing method that used a single-thread unidirectional barbed suture without exposing the barbs on the wound surface was acceptable compared with the conventional suture method during laparoscopic myomectomy (LM).

Materials And Methods: This was a retrospective study. The subjects were 26 women who underwent LM for symptomatic uterine fibroids. Read More

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