Hysteroscopic Enucleation in Toto of Submucous Type 2 Myomas: Long-Term Follow-Up in Women Affected by Menorrhagia
| Autor: | Carlo Saccardi, Salvatore Gizzo, Alberta Fabris, Pietro Litta, Francesca De Marchi, Angela Borghero, L. Conte |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Long term follow up Enucleation Uterus Hysteroscopy Obstetrics and gynaecology Pregnancy Uterine Myomectomy Humans Medicine Longitudinal Studies Menorrhagia Retrospective Studies Gynecology Leiomyoma medicine.diagnostic_test business.industry Obstetrics and Gynecology Retrospective cohort study Myoma Middle Aged medicine.disease Surgery medicine.anatomical_structure Submucous myoma Uterine Neoplasms Female business Follow-Up Studies |
| Zdroj: | Journal of Minimally Invasive Gynecology. 21:426-430 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2013.11.007 |
| Popis: | Study Objective To evaluate long-term efficacy of type 2 myoma enucleation in toto. Design Longitudinal retrospective study (Canadian Task Force classification II-2). Setting University obstetrics and gynecology clinic. Patients One hundred twelve women with menorrhagia and at least 1 type 2 submucous myoma who underwent hysteroscopic myoma enucleation in toto. Intervention Clinical long-term follow-up. Measurements and Main Results Success of the procedure and influence of myoma characteristics on recurrence of menorrhagia were evaluated. Mean (SD) follow-up was 58.4 (19.1) months. The success of the procedure was 88.4% (99 patients). Seventeen patients (15.2%) underwent a 2-step procedure. Among patients with relapsed menorrhagia, 10 (8.9%) underwent a repeat operation. Statistical analysis showed that number and diameter of myomas did not influence the outcome. Localization in the posterior wall of the uterus, compared with other sites, was associated with a higher percentage of resolution of menstrual symptoms (p = .03). There was no significant relationship between myomas features and risk of symptom recurrence during follow-up. The 2-step myomectomy was performed in patients with myomas >30 mm in diameter (p Conclusion Hysteroscopic enucleation in toto of type 2 myomas is a safe and effective technique in long-term management of premenopausal women with menorrhagia. |
| Databáze: | OpenAIRE |
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