277 results match your criteria open myomectomy


The effects of laparoscopic myomectomy and open surgery on uterine myoma patients' postoperative immuno-inflammatory responses, endocrine statuses, and prognoses: a comparative study.

Am J Transl Res 2021 15;13(8):9671-9678. Epub 2021 Aug 15.

Department of Gynecology, Jincheng People's Hospital Jincheng, Shanxi Province, China.

Objective: To explore the effects of laparoscopic myomectomy and open surgery on the postoperative inflammatory responses, endocrine statuses, and prognoses of uterine myoma patients.

Methods: Uterine myoma patients (n=126) admitted to the Department of Gynecology in our hospital were recruited as the study cohort and divided into an observation group (n=63), and a control group (n=63). The patients in the observation group underwent laparoscopic myomectomies, and the patients in the control group underwent open surgery. Read More

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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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Technique to reduce blood loss during open abdominal myomectomy: transverse or vertical incision?

Rev Assoc Med Bras (1992) 2021 Mar;67(3):426-430

Ankara City Hospital, Ankara Dr. Zekai Tahir Burak Women's Health Practice and Research Center, Department of Obstetrics and Gynecology - Ankara, Turkey.

Objective: To determine if there is a difference between uterine incision techniques (vertical vs. transversal) in terms of clinical results.

Methods: All women with leiomyomas who underwent open abdominal myomectomy (n=61) between March and August 2016 at the Gynecology and Obstetrics Clinic at the Women's Health Research and Training Hospital Zekai Tahir Burak were included, and the clinical results were included and prospectively reviewed. 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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Subsequent pregnancy outcomes after abdominal laparoscopic myomectomy.

J Matern Fetal Neonatal Med 2021 Aug 17:1-7. Epub 2021 Aug 17.

Division of Obstetrics & Gynecology, Maternity Department "D", Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Objective: To determine whether abdominal (open) laparoscopic myomectomy affects the obstetrical outcomes of subsequent pregnancies.

Methods: A retrospective cohort study was conducted at a tertiary university medical center. The study population included women who had a documented birth following a myomectomy at our institution between the years 1997 and 2018. 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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[Effectiveness of abdominal minimal incision sacrocolpopexy for advanced pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):328-334

UT Southwestern Medical Center, Dallas, USA.

To evaluate the indications, surgical skills and clinic outcomes of abdominal minimal incision sacrocolpopexy (AMISC) for treatment of advanced pelvic organ prolapse (POP). The retrospective study analyzed 30 women with advanced POP who underwent AMISC between June 2016 and October 2019, including 9 cases of recurrent prolapse and 10 cases of vault prolapse. AMISC was especially applicable to: (1) patients with several medical complications who was unable to tolerate general anesthesia or laparoscopic surgery, but able to tolerate combined spinal-epidural anesthesia and open surgery; (2) other abdominal procedures were indicated to perform with AMISC simultaneously, such as myomectomy, subtotal hysterectomy etc, the specimens were easy to get out of the abdominal cavity and morcellation was avoided; (3) surgeons preferring open surgery to laparoscopic surgery or skilled in open surgery; (4) patients with prior pelvic operations, presenting severe abdominal and pelvic adhesions. Read More

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A Clinically Applicable Prediction Model for the Risk of Transfusion in Women Undergoing Myomectomy.

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

Department of Obstetrics and Gynecology (Drs. Marfori, Barnes, and Moawad); The Center for Endometriosis and Advanced Pelvic Surgery (Dr. Moawad), Washington, District of Columbia.

Study Objective: We sought to identify the variables independently associated with intra/postoperative blood transfusion at the time of myomectomy. We further hoped to develop an accurate prediction model using preoperative variables to categorize an individual's risk of blood transfusion during myomectomy.

Design: Case-control study. Read More

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Cost comparison of gynecologic procedures between the US and a developing country: an observational study.

J Robot Surg 2021 Feb 26. Epub 2021 Feb 26.

Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon.

The Unites States spends on healthcare, with women's health being included, more than what middle-to-low-income countries, such as Lebanon, do. Compared to the United States, Lebanon has negligible data on the amounts spent on healthcare including female health services. In this study, we try to assess the cost differences of common gynecologic procedures between Lebanon and the United States, trying to fill the gap of missing data in Lebanon and identifying potential factors that can lead to high healthcare cost in the United States. Read More

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February 2021

Uterine Morcellation for Presumed Leiomyomas: ACOG Committee Opinion, Number 822.

Authors:

Obstet Gynecol 2021 Mar;137(3):e63-e74

Abstract: Morcellation is a surgical technique used to reduce the size of the uterus or myomas by creating smaller pieces to allow the tissue to be removed through small incisions or with laparoscopic instruments. Open (uncontained) morcellation of the uterus and myomas has been scrutinized because of the possible spread of an unsuspected leiomyosarcoma while using a power morcellator during a hysterectomy or myomectomy for presumed symptomatic uterine leiomyomas. Before considering morcellation of the uterus, a woman should be evaluated to determine if she is at increased risk of malignancy of the uterine corpus. Read More

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Uterine Morcellation for Presumed Leiomyomas: ACOG Committee Opinion Summary, Number 822.

Authors:

Obstet Gynecol 2021 Mar;137(3):552-553

Abstract: Morcellation is a surgical technique used to reduce the size of the uterus or myomas by creating smaller pieces to allow the tissue to be removed through small incisions or with laparoscopic instruments. Open (uncontained) morcellation of the uterus and myomas has been scrutinized because of the possible spread of an unsuspected leiomyosarcoma while using a power morcellator during a hysterectomy or myomectomy for presumed symptomatic uterine leiomyomas. Before considering morcellation of the uterus, a woman should be evaluated to determine if she is at increased risk of malignancy of the uterine corpus. Read More

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Multiple myomectomy to aid fertility treatment - surgical and fertility outcomes: a retrospective cohort study.

Facts Views Vis Obgyn 2021 Jan 8;12(4):283-289. Epub 2021 Jan 8.

University College London Hospital, London, United Kingdom.

Objective: To assess the effects of multiple myomectomy at laparotomy on fertility potential of infertile women who are planning to undergo assisted reproductive technology (ART) treatment.

Methods: A retrospective single centre cohort study was conducted. Data of infertile women who were planning to undergo ART and underwent open myomectomy for multiple fibroids between January 2010 and December 2018 were reviewed. Read More

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January 2021

Preoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route.

PLoS One 2021 9;16(2):e0246807. Epub 2021 Feb 9.

Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, United States of America.

Introduction: Our institution implemented a preoperative protocol to identify high-risk cases for which power morcellation should be avoided.

Material And Methods: In this retrospective cohort study, an institutional protocol requiring preoperative Magnetic Resonance Imaging with diffusion-weighted imaging and serum Lactate Dehydrogenase levels was implemented. Chart review was performed including all women who underwent intra-abdominal surgery for symptomatic fibroids from 4/23/2013 to 4/23/2015. Read More

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Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature.

Medicina (Kaunas) 2021 Jan 21;57(2). Epub 2021 Jan 21.

Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.

: Cervical leiomyomas are a rare benign disease. Although they are mainly treated surgically, currently, there is not a standardized treatment for cervical leiomyomas. This study aims to summarize current literature evidence about treatment options for cervical leiomyomas. Read More

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January 2021

Robot-Assisted Laparoscopic Myomectomy versus Abdominal Myomectomy for Large Myomas Sized over 10 cm or Weighing 250 g.

Yonsei Med J 2020 Dec;61(12):1054-1059

Department of Obstetrics & Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: Here, we compared the operative and perioperative outcomes between robot-assisted laparoscopic myomectomy (RALM) and abdominal myomectomy (AM) in patients with large (>10 cm) or heavy myomas (>250 g).

Materials And Methods: We included 278 patients who underwent multi-port RALM (n=126) or AM (n=151) for large or heavy myomas in a tertiary care hospital between April 2019 and June 2020. The t-test, chi-square, Bonferroni's test, and multiple linear regression were used. Read More

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December 2020

A multi-centre, randomized, non-inferiority trial to compare ulipristal with standard surgical treatment in women with symptomatic uterine fibroids: Protocol of the MYOMEX-2 trial.

Eur J Obstet Gynecol Reprod Biol 2021 Jan 28;256:63-69. Epub 2020 Oct 28.

Amsterdam University Medical Center, Department of Obstetrics and Gynaecology, Amsterdam Reproduction and Development, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam University Medical Center, Department of Obstetrics and Gynaecology, Amsterdam Reproduction and Development, Meibergdreef 9, Amsterdam, The Netherlands.

Objectives: Fibroids are the most common benign tumours found in the uterus and can cause various symptoms. In 20-50 % of the women, an intervention is required. When conservative options fail, invasive options such as hysterectomy, uterine artery embolization or myomectomy are eligible options. Read More

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January 2021

Comparison of the Number of Spindle Cells in Peritoneal Washings between Laparoscopic Myomectomy with Morcellation and Open Myomectomy without Morcellation.

J Minim Invasive Gynecol 2021 Jul 2;28(7):1391-1396. Epub 2020 Nov 2.

Department of Pathology, Arash Women's Hospital, Tehran University of Medical Sciences (Dr. Seifollahi).

Study Objective: This study evaluated peritoneal washings for the detection of spindle cells (SCs) in laparoscopic and open myomectomies.

Design: Prospective, nonrandomized clinical trial.

Setting: An academic tertiary referral center. Read More

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Correlation between the number of laparoscopy-qualified gynecologists and the proportion of laparoscopic surgeries for benign gynecological diseases in Japan: An ecological study.

J Obstet Gynaecol Res 2021 Jan 15;47(1):329-336. Epub 2020 Oct 15.

Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Aim: We aimed to evaluate regional disparities in the proportion of the three main laparoscopic surgeries for benign gynecological diseases among 47 prefectures in Japan and their correlation with the number of laparoscopy-qualified gynecologists per population.

Methods: In this retrospective ecological study, we collected the data of patients from 47 prefectures in 2017 using "The National Database of Health Insurance Claims and Specific Health Checkups of Japan" Open Data from the Ministry of Health, Labor and Welfare in Japan. The primary outcome of the study was the proportion of laparoscopic surgeries conducted for benign gynecologic diseases (hysterectomy, myomectomy and surgery for the benign ovarian diseases). Read More

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January 2021

A comparison of three approaches for laparoscopic single-site (LESS) myomectomy: conventional, robotic, and hand assisted.

J Robot Surg 2021 Aug 7;15(4):643-649. Epub 2020 Oct 7.

Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, 10th floor, Houston, TX, 77030, USA.

The objective of this study is to determine the feasibility and explore criteria for patient selection for three methods of LESS myomectomy: conventional (C-LESS), robotic-assisted (RA-LESS), and hand-assisted (HA-LESS). This was a retrospective case review of 72 patients with uterine myomas, conducted in a large academic tertiary care hospital between March 1, 2015, and November 7, 2018. LESS myomectomy via conventional, robotic, and hand-assisted routes. Read More

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Port-site implantation of parasitic leiomyoma after laparoscopic myomectomy and its histopathology.

SAGE Open Med Case Rep 2020 18;8:2050313X20959223. Epub 2020 Sep 18.

Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, Japan.

Although parasitic leiomyoma could be spontaneous or iatrogenic in origin, port-site implantation of parasitic leiomyoma is an iatrogenic benign sequela of laparoscopic surgery. A 30-year-old, primigravida Japanese woman was referred after unresponsiveness to preoperative gonadotropin-releasing hormone for intramural fibroids. Magnetic resonance imaging showed multiple intramural fibroids and left ovarian endometrioma with no malignant features. Read More

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September 2020

Laparoscopic Myomectomy - Converting to Laparotomy for a Suspicious Intraoperative Appearance with Subsequent Benign Histology - a Pre- and Intra-Operative Dilemma.

Int J Womens Health 2020 17;12:739-744. Epub 2020 Sep 17.

Department of Obstetrics and Gynaecology, St Mary's Hospital, Paddington, London, W2 1NY, UK.

Background: Although the most common uterine tumour is leiomyoma, the differential diagnoses also include the rarer adenomyoma and leiomyosarcoma. A lack of clear reliable clinical and radiological features makes the triage of uterine masses to the appropriate surgical procedure difficult. In the case of suspicious appearance of a presumed leiomyoma, an open surgical approach is recommended and morcellation is avoided. Read More

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September 2020

Uterine Isthmus Tourniquet during Abdominal Myomectomy: Support or Hazard? A Randomized Double-Blind Trial.

Gynecol Obstet Invest 2020 16;85(5):396-404. Epub 2020 Sep 16.

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran,

Background And Objectives: A tourniquet has been suggested as a useful means of reducing massive hemorrhage during myomectomy. However, it is not clear whether the restricted perfusion affects the ovaries. In the present study, we examined the effect of a tourniquet on ovarian reserve and blood loss during myomectomy. Read More

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Robotic Management of Fibroids: Discussion of Use, Criteria and Advantages.

Acta Medica (Hradec Kralove) 2020 ;63(2):63-66

Gynaecological Oncology Department, Metaxa Cancer Hospital, Piraeus, Greece.

Fibroids are the most common benign tumors affecting fertility and quality of life. Different methods either definitive or fertility sparing are used for their management by using open, laparoscopic and robotic techniques. This is a narrative review presenting the role and the advantages of robotic surgery in fibroids (myomectomies or hysterectomies). Read More

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Pregnancy-associated myocardial infarction following elective caesarean section for two previous caesarean sections and myomectomy.

J Family Med Prim Care 2020 May 31;9(5):2528-2530. Epub 2020 May 31.

Department of Obstetrics and Gynecology, Garki Hospital Abuja, Nigeria.

A 39-year-old woman, gravida 4, para 2 + 1 (2 alive) for elective second repeat caesarean delivery on account of two previous caesarean sections and one open myomectomy. Following the caesarean section, she developed sudden cardiac failure and was transferred to the intensive care unit for mechanical ventilation support. Congestive cardiac failure secondary to non ST segment elevation myocardial infarction (NSTEMI) was subsequently diagnosed following an electrocardiogram (ECG), echocardiography, and cardiac enzyme assay. Read More

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[Imaging features and clinical analysis of diffuse uterine leiomyomatosis cases].

Zhonghua Yi Xue Za Zhi 2020 Aug;100(29):2263-2267

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy and Medical Sciences & Peking Union Medical College, Beijing 100730, China.

To discuss the imaging, clinical features and management of diffuse uterine leiomyomatosis (DUL). Six cases of DUL confirmed in Peking Union Medical College Hospital from August 2009 to September 2019 were reviewed on their image and clinical data. Retrospective analysis was conducted on their perioperative and postoperative follow-up data. Read More

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Uterine-Artery Embolization or Myomectomy for Uterine Fibroids.

N Engl J Med 2020 07;383(5):440-451

From St. George's Hospital and Medical School (I.M., A.-M.B.) and Whipps Cross Hospital (F.S.), London, the University of Glasgow, Glasgow (M.-A.L., J.M., O.W.), the University of Birmingham, Birmingham (W.M., L.J.M., V.C.), the University of Nottingham, Nottingham (J.P.D.), and the University of Oxford, Oxford (K.M.) - all in the United Kingdom.

Background: Uterine fibroids, the most common type of tumor among women of reproductive age, are associated with heavy menstrual bleeding, abdominal discomfort, subfertility, and a reduced quality of life. For women who wish to preserve their uterus and who have not had a response to medical treatment, myomectomy and uterine-artery embolization are therapeutic options.

Methods: We conducted a multicenter, randomized, open-label trial to evaluate myomectomy, as compared with uterine-artery embolization, in women who had symptomatic uterine fibroids and did not want to undergo hysterectomy. Read More

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Quality of Life after Laparoscopic and Open Abdominal Myomectomy.

J Minim Invasive Gynecol 2021 04 26;28(4):817-823. Epub 2020 Jul 26.

Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles (Drs. Rodriguez-Triana and Olson and Ms. Kelly); Department of Urology (Ms. Kwan), David Geffen School of Medicine, University of California, Los Angeles; Department of Obstetrics and Gynecology and Reproductive Sciences, University of California San Diego School of Medicine, La Jolla (Dr. Parker), California. Electronic address:

Study Objective: To evaluate the baseline and postoperative changes in quality of life and symptom-severity scores in women undergoing laparoscopic or open abdominal myomectomy for symptomatic myomas.

Design: Prospective cohort study of patients choosing myomectomy for symptomatic uterine myomas.

Setting: Academic medical center. Read More

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A systematic review on the use of misoprostol at the time of open myomectomy.

Authors:
P C Jeppson

BJOG 2021 02 9;128(3):484. Epub 2020 Aug 9.

University of New Mexico, Albuquerque, NM, USA.

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February 2021

Caesarean section in women following an abdominal myomectomy: a choice or a need?

Facts Views Vis Obgyn 2020 May 7;12(1):57-60. Epub 2020 May 7.

Princess Royal Hospital, Brighton and Sussex University Hospitals NHS Trust, Lewes Road, Haywards Heath, RH16 4EX.

Delivery options following both open and laparoscopic myomectomy remains a controversial topic and opinions vary between obstetricians and gynaecologists. The historical advice of planned caesarean section before 39-weeks persists despite the movement towards the minimal access approach for myomectomy. The main concern remains the small, but potentially catastrophic risk of uterine rupture. Read More

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