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Strategy of cervical myomectomy under laparoscopy
Author(s):
Wen-Chun Chang
,
Szu-yu Chen
,
Su-Cheng Huang
,
Daw-Yuan Chang
,
Li-Yun Chou
,
Bor-Ching Sheu
Publication date
Created:
December 2010
Publication date
(Print):
December 2010
Journal:
Fertility and Sterility
Publisher:
Elsevier BV
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PubMed
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Abstract
To evaluate a strategy of laparoscopic excision of a cervical myoma (CM). Prospective study. University-affiliated hospital. Twenty-eight patients with CM underwent laparoscopic myomectomy. These cases were classified into five types according to the location: [1] anterior cervical myoma (ACM); [2] posterior cervical myoma (PCM); [3] central cervical myoma (CCM); [4] lateral cervical myoma [LCM]; and [5] deep-rooted cervical myoma (DCM). After preoperative assessment, patients underwent laparoscopic myomectomy. Ligation of the uterine artery and diluted vasopressin injection were performed to decrease bleeding during laparoscopy. Myoma numbers, myoma weight, operative time, estimated blood loss, hospital stay, complication rate. Most of the lesions were ACM (43%) and PCM (32%). The mean operative time was 121 minutes, mean blood loss was 99 mL, and mean myoma weight was 287 g. The mean hospital stay was 2.2 days. There were no complications. Histopathologic examination showed that all lesions were leiomyoma. Hypermenorrhea, dysmenorrhea, and symptoms of compression improved after the operation. Two infertile patients conceived spontaneously at 1 and 7 months postoperatively, and successfully delivered infants by cesarean section at term. Surgical treatment of CM is empirically difficult. It is important that the approach be changed according to the location and size of the myoma. Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
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Journal
Title:
Fertility and Sterility
Abbreviated Title:
Fertility and Sterility
Publisher:
Elsevier BV
ISSN (Print):
00150282
Publication date Created:
December 2010
Publication date (Print):
December 2010
Volume
: 94
Issue
: 7
Pages
: 2710-2715
Article
DOI:
10.1016/j.fertnstert.2010.02.049
PubMed ID:
20381037
SO-VID:
b4915f44-f182-4f93-8b94-3e2ce0799ddf
Copyright ©
© 2010
License:
https://www.elsevier.com/tdm/userlicense/1.0/
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