Minimally Invasive Approaches to Myoma Management.
Publication/Presentation Date
2-1-2018
Abstract
Patients affected by the presence of leiomyomas may incur a substantial physical, emotional, social, and financial toll as well as losses in their quality of life. Although many myomas are not amenable to medical therapy or hysteroscopic resection, many others are amenable to minimally invasive surgical approaches. In patients who prefer to retain their fertility, laparoscopic myomectomy should be considered the intervention of choice. In this review, we expand on the surgical techniques of both conventional laparoscopic and robotic-assisted myomectomies. We discuss port placement, enucleation of myomas, tissue extraction, minimization of blood loss, adhesion prevention, and the technique for closure of uterine incisions. Finally, we discuss the available data supporting the use of these 2 approaches as the preferred, safe, and effective fertility-sparing surgical option. We also briefly discuss the emerging technologies of uterine artery embolization, ultrasound surgery, and radiofrequency ablation.
Volume
25
Issue
2
First Page
237
Last Page
250
ISSN
1553-4669
Published In/Presented At
Gingold, J. A., Gueye, N. A., & Falcone, T. (2018). Minimally Invasive Approaches to Myoma Management. Journal of minimally invasive gynecology, 25(2), 237–250. https://doi.org/10.1016/j.jmig.2017.07.007
Disciplines
Medicine and Health Sciences
PubMedID
28734973
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article