scholarly journals Surgical treatment of uterine fibroids

2020 ◽  
Vol 11 (4) ◽  
pp. 367-388
Author(s):  
A. P. Gubarev
Keyword(s):  
Surgical Treatment ◽  
Uterine Fibroids ◽  
New Work ◽  
Practical Issue ◽  
Definite Answer ◽  
The Many

What method should be used to operate uterine fibroids and what criterion is currently desirable for solving this important practical issue - these are the thoughts that arise involuntarily when reading any new work on this subject and, despite the many significant improvements described in almost every issue of special periodicals, all these questions usually do not receive a definite answer and there is a vast field for all sorts of doubts when trying to resolve them.

scholarly journals Myoma pseudocapsule - a biological and surgical structure to respect during myomectomy

2020 ◽  
Vol 148 (3-4) ◽  
pp. 236-241
Author(s):  
Andrea Tinelli ◽  
Radmila Sparic
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Biological Process ◽  
Positive Impact ◽  
Uterine Fibroids ◽  
Reproductive Function ◽  
Muscle Scar ◽  
New Techniques ◽  
Anatomical Studies ◽  
Surgical Practice

Uterine fibroids affect almost one in two patients, causing many pelvic problems and requiring pharmacologic and surgical treatment. For many years, the importance of the fibroid was emphasized as uterine pathology, without focusing on the complex myometrial biology peripheral to fibroid. Moreover, the traditional surgical technique in fibroid removal has not been investigated for years. In recent years, on the contrary, morphological, neuroendocrine and anatomical studies have demonstrated the importance of a biological and surgical structure surrounding myoma, rich in neurotransmitters and neurofibres, the myoma pseudocapsule. This structure is formed in the womb peripheral to fibroid onset, it separates the fibroid from the myometrium and acts as a tissue regenerator after the removal of the fibroid from the uterus. The translation of scientific research on pseudocapsules into surgical practice has allowed us to identify new techniques of myomectomy, removing the myoma inside the pseudocapsule and promoting the pseudocapsules sparing surgery. All this to favor the subsequent biological process of uterine scarring and healing, by activating the neurotransmitters and neurofibres present in the myometrial fovea. The correct healing after fibroid removal restores the uterine anatomy, with a positive impact on subsequent reproductive function, reducing problems related to the muscle scar.

scholarly journals Successful Primary Treatment of a Hydatidiform Mole with Methotrexate and EMA/CO

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
M. De Vos ◽  
M. Leunen ◽  
C. Fontaine ◽  
Ph. De Sutter
Keyword(s):  
Surgical Treatment ◽  
Complete Remission ◽  
Treatment Option ◽  
Hydatidiform Mole ◽  
Uterine Fibroids ◽  
Treatment Method ◽  
Primary Treatment ◽  
Molar Pregnancy ◽  
Complete Hydatidiform Mole ◽  
Hydatidiform Moles

Background. The preferred treatment method of most hydatidiform moles is suction aspiration. In rare circumstances uterine abnormalities may preclude surgical treatment.Case. We report a case of complete molar pregnancy successfully treated with methotrexate followed by EMA/CO. A 38-year-old woman with a complete hydatidiform mole and multiple uterine fibroids underwent a failed attempt at suction aspiration. Following treatment with methotrexate, a nonmetastatic persistent trophoblastic tumour developed. Six cycles of EMA/CO led to complete remission.Conclusion. We propose that primary treatment of molar pregnancies with chemotherapy is a useful treatment option in cases where uterine abnormalities interfere with suction aspiration.

scholarly journals Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Liselotte Mettler ◽  
Thoralf Schollmeyer ◽  
Andrea Tinelli ◽  
Antonio Malvasi ◽  
Ibrahim Alkatout
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Critical Analysis ◽  
Severe Pain ◽  
Uterine Fibroids ◽  
Statistical Analyses ◽  
Hysteroscopic Myomectomy

A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from dysuria and constipation to chronic bladder and bowel spasms. Very seldom does peritonitis occur. Infertility may result from continuous metro and menorrhagia. The difficulty of the laparoscopic and hysteroscopic myomectomy lies in achieving satisfactory haemostasis using the appropriate sutures. The hysteroscopic myomectomy requires an operative hysteroscope and a well-experienced gynaecologic surgeon.

scholarly journals Black Women’s Psychosocial Experiences with Seeking Surgical Treatment for Uterine Fibroids: Implications for Clinical Practice

2020 ◽  
Author(s):  
Brianna N VanNoy ◽  
Lisa Bowleg ◽  
Cherie Marfori ◽  
Gaby Moawad ◽  
Ami R. Zota
Keyword(s):  
Social Networks ◽  
Surgical Treatment ◽  
Black Women ◽  
Medical Center ◽  
Academic Medical Center ◽  
Uterine Fibroids ◽  
Medical Mistrust ◽  
Management Decisions ◽  
Management Options ◽  
Psychosocial Experiences

Abstract Background Black women are disproportionately impacted by uterine fibroids and are more likely to undergo surgical treatment for fibroids compared with non-Black women. However, few studies have characterized the psychosocial experiences of Black women seeking treatment for fibroids. This study aimed to identify factors that shape Black women’s fibroid management decisions; explore how discrimination based on race, class, and gender feature in treatment-seeking experiences; and compare experiences by age and socioeconomic status (SES). Methods We conducted semi-structured interviews with 37 Black premenopausal women, undergoing either a hysterectomy or myomectomy for fibroids at an academic medical center. We used a thematic analysis to code transcripts and identify themes. Results Participants were predominately single, highly educated, and privately insured. Respondents reported that patient-doctor interactions, support from social networks, fertility consequences, and fear of fibroid malignancy influenced their fibroid management decisions. Their knowledge and perceptions of fibroids were also influenced by social and community norms and differed by SES; women of higher SES had greater fibroid awareness than women of lower SES. Discrimination was discussed in the context of historical inequity against Black women, with one participant questioning whether Black women were valued less in clinical settings compared with non-Black women. While several women discussed positive experiences seeking fibroids care, others expressed medical mistrust or said that alternative management options were not offered by clinicians. Conclusions Fibroid management decisions were influenced not only by individual-level interactions with clinicians and social networks, and concerns about fertility and fibroid malignancy, but also by broader social and historical conditions. These findings suggest that clinicians should deliver culturally-competent gynecologic care that centers the voices of Black women and acknowledges the diverse perspectives and perceptions that Black women may have when seeking fibroid treatment.

Brazilian Videodance

2016 ◽  
pp. 104-124
Author(s):  
Leonel Brum
Keyword(s):  
Contemporary Art ◽  
First Century ◽  
New Work ◽  
Three Generations ◽  
Twenty First Century ◽  
The Many

This chapter reflects on some of the most important transformations that contributed to the development of Brazilian videodance. Proposing a feasible mapping of the many works considered to be the most emblematic in the last four decades, the study identifies three generations of creators, starting in the 1970s with Analívia Cordeiro, the next two decades with videodance festivals like Carlton Dance, and culminating in the twenty-first century with numerous artists, choreographers, and producers, and especially the project dança em foco. This videodance scene is in a constant process of transformation that needs to be investigated aesthetically, politically, and conceptually, in dialogue with ideas stemming from some of the most important Brazilian scholars in the areas of video and dance. This chapter also develops an approach to how videodance (re)invents the relation between video and dance with each new work, while additionally assessing how these works resonate within contemporary art contexts.

Experience of pyomyoma treatment

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 81-83
Author(s):  
Rushania I. Gabidullina ◽  
Marat A. Mingazetdinov ◽  
Evgenya B. Druzhkowa ◽  
Liaisan I. Sirmatova
Keyword(s):  
Surgical Treatment ◽  
Caesarean Section ◽  
Antibiotic Therapy ◽  
Young Woman ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Clinical Case ◽  
Uterine Fibroids ◽  
Artery Embolization ◽  
Incorrect Diagnosis

Uterine pyomyoma is a rare and dangerous complication of uterine fibroids, which develops as a result of myomatous node infarction with the addition of an infectious component. In the literature there are descriptions of 50 cases of pyomyomas, half of which are associated with pregnancy. Incorrect diagnosis, lack of antibacterial and surgical treatment can lead to death of the patient. This article describes a clinical case of uterine piomioma development after the first birth by Caesarean section. Method of uterine artery embolization in combination with antibiotic therapy has helped keep the uterus of a young woman. On subsequent observation, menstrual function has fully recovered.

Uterine fibroids, laparoscopic surgery and morcellation. Literature review

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 22-25
Author(s):  
Alexander A Seregin ◽  
Anastasiia B Nadezhdenskaya ◽  
Aleksandra V Asaturova ◽  
Dmitry L Ovodenko
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Uterine Fibroids ◽  
Extraction Process ◽  
Uterine Myoma ◽  
Historical Aspect ◽  
Surgical Interventions ◽  
Oncological Safety ◽  
High Level

Aim. To analyze the literature data on modern approaches to morcellation of myomatous nodes in laparoscopic surgery and to highlight this area in a historical aspect. To form an idea of the main difficulties associated with morcellation, which contributed to and contribute to the improvement of the technique of this manipulation. Materials and methods. The review includes data from foreign articles published in the elibrary.ru and PubMed databases on this topic. Results. It describes both modern trends in the surgical treatment of patients with uterine myoma, and historical aspects of improving methods aimed at reducing risks, reducing the time of surgical intervention and improving its safety. Analyzed data on the use of electromorcellation, carried out both with the use of plastic containers, and without them. Conclusion. High requirements for surgical interventions contributed to the emergence of such a method of intracorporeal fragmentation of drugs, such as morcellation, which led to a significant reduction in the proportion of laparotomic operations in the treatment of patients with my uterus. The introduction of laparoscopy in the surgical treatment of uterine myoma allowed to achieve a fundamentally new high level of rehabilitation of patients. Removing removed drugs from the abdominal cavity is associated with a certain risk. Despite the significant number of proposed methods and devices for morcellation, they all require further improvement, since it is necessary to completely exclude contact of the myoma node tissue with abdominal organs in the extraction process. Currently, active research continues on ways to realize all the benefits of minimally invasive technologies in compliance with the rules of oncological safety.

Frequency, Complications and Outcomes of Myomectomy in Reproductive Age Women: Retrospective Analysis and Expert Opinion

2017 ◽  
Vol 9 (2) ◽  
pp. 116-119 ◽  
Author(s):  
Alexander A. Popov ◽  
Anton A. Fedorov ◽  
Ekaterina A. Loginova
Keyword(s):  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Medical Center ◽  
Uterine Fibroids ◽  
High Technology ◽  
Reproductive Age ◽  
Newly Diagnosed ◽  
Female Population ◽  
Reproductive Age Women ◽  
Uterine Scar

The incidence of uterine fibroid in the general female population is estimated at 20%-25%. In 2008, a study involving 145 gynecologists from a few large Russian cities demonstrated that the majority of the respondents had to handle from 10 to 30 (mean 20) women with fibroid every month. Only 28.8% of the patients had newly diagnosed uterine fibroids. Surgical treatment was recommended to 29.8% of the women. A few variants of myoma treatment are distinguished. Fortunately, over 40% of these tumors are asymptomatic. We performed a retrospective analysis of 218 patients submitted to myomectomy in our medical center between 2011 and 2013. In 149 cases (68%) myomectomy was conducted as a step of preparation for pregnancy. The pregnancy rate was 51.6%. A single (1.3%) complication in the form of uterine scar rupture was documented in week 34 of pregnancy. In our opinion, myomectomy is a high-technology operation that must be performed strictly based on the principle of “best” surgery for the “best” patient.

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