Preoperative Uterine Artery Embolization (PUAE) Before Uterine Fibroid Myomectomy

Autor: Louis Boyer, S. Nasser, G Mage, C. Darcha, N. Mazet, Pascal Chabrot, Jean-Marc Garcier, Eric Dumousset, B. Rabischong
Přispěvatelé: Image Science for Interventional Techniques (ISIT), Université d'Auvergne - Clermont-Ferrand I (UdA)-Clermont Université-Centre National de la Recherche Scientifique (CNRS), Institut Pascal (IP), SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), CHU Clermont-Ferrand, SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2008
Předmět:
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging
medicine.medical_treatment
MESH: Risk Assessment
030218 nuclear medicine & medical imaging
0302 clinical medicine
Uterine artery embolization
Embolization
MESH: Treatment Outcome
030219 obstetrics & reproductive medicine
MESH: Middle Aged
medicine.diagnostic_test
Leiomyoma
Myometrium
Arteries
MESH: Follow-Up Studies
Middle Aged
Embolization
Therapeutic
female genital diseases and pregnancy complications
3. Good health
Treatment Outcome
Hysteroscopy
Uterine Neoplasms
MESH: Myometrium
MESH: Uterus
Female
Radiology
Cardiology and Cardiovascular Medicine
[SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing
Adult
MESH: Preoperative Care
medicine.medical_specialty
MESH: Leiomyoma
Uterine fibroids
education
Preoperative care
Risk Assessment
MESH: Laparotomy
03 medical and health sciences
Preoperative Care
medicine
Humans
Radiology
Nuclear Medicine and imaging
Uterine Neoplasm
MESH: Arteries
Retrospective Studies
Laparotomy
MESH: Humans
business.industry
MESH: Uterine Neoplasms
Uterus
MESH: Adult
MESH: Retrospective Studies
MESH: Hysteroscopy
medicine.disease
Surgery
MESH: Embolization
Therapeutic
business
MESH: Female
Follow-Up Studies
Zdroj: CardioVascular and Interventional Radiology
CardioVascular and Interventional Radiology, Springer Verlag, 2008, 31 (3), pp.514-520. ⟨10.1007/s00270-005-0342-3⟩
CardioVascular and Interventional Radiology, 2008, 31 (3), pp.514-520. ⟨10.1007/s00270-005-0342-3⟩
ISSN: 0174-1551
1432-086X
DOI: 10.1007/s00270-005-0342-3⟩
Popis: To evaluate the potential of uterine artery embolization to minimize blood loss and facilitate easier removal of fibroids during subsequent myomectomy.This retrospective study included 22 patients (median age 37 years), of whom at least 15 wished to preserve their fertility. They presented with at least one fibroid (mean diameter 85.6 mm) and had undergone preoperative uterine artery embolization (PUAE) with resorbable gelatin sponge.No complication or technical failure of embolization was identified. Myomectomies were performed during laparoscopy (12 cases) and laparotomy (9 cases). One hysterectomy was performed. The following were noted: easier dissection of fibroids (mean 5.6 per patient, range 1-30); mean intervention time 113 min (range 25-210 min); almost bloodless surgery, with a mean peroperative blood loss of 90 ml (range 0-806 ml); mean hemoglobin pretherapeutically 12.3 g/dl (range 5.9-15.2 g/dl) and post-therapeutically 10.3 g/dl (range 5.6-13.3 g/dl), with no blood transfusion needed. Patients were discharged on day 4 on average and the mean sick leave was 1 month.Preoperative embolization is associated with minimal intraoperative blood loss. It does not increase the complication rate or impair operative dissection, and improves the chances of performing conservative surgery.
Databáze: OpenAIRE
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