[Myomectomy].

Autor: Brun JL; Hôpital Pellegrin, centre Aliénor d'Aquitaine, pôle d'obstétrique reproduction gynécologie, 33076 Bordeaux, France. jean-luc.brun@chu-bordeaux.fr, Legendre G, Bendifallah S, Fernandez H
Jazyk: francouzština
Zdroj: Presse medicale (Paris, France : 1983) [Presse Med] 2013 Jul-Aug; Vol. 42 (7-8), pp. 1117-21. Date of Electronic Publication: 2013 Apr 09.
DOI: 10.1016/j.lpm.2013.02.317
Abstrakt: Myomas induce menorrhagia and pelvic pain, and increase the risk of infertility and obstetrical complications. Symptomatic sub-mucosal myomas are classically treated by hysteroscopic resection. Symptomatic interstitial and sub-serosal myomas may be treated by myomectomy, either by laparotomy or laparoscopy according to their number and size. Prophylactic myomectomy is not recommended to prevent from obstetrical complications or the risk of leiomyosarcoma. Although all myomas have a negative effect on fertility, the removal of sub-mucosal myomas is the sole recommendation to improve spontaneous fertility or assisted reproduction technology.
(Copyright © 2013 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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