Surgical treatment of uterine fibroids
Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 1
Abstract
Uterine fibroids are the most common benign tumors of the genital tract. Pathophysiology of myomas arise is not clear. Although hormons and a number of local growth factors may stimulate myoma development. The genetic basis for fibroid growth may relate primarily to these factors and their receptors. Most women with uterine fibroids are asymptomatic. Nevertheless the management depends on the symptoms, localization, size of the fibroids, and the patients desire to maintain their fertility. Laparoscopic or histeroscopic myomectomy is the best treatment for symptomatic patients with uterine fibroids. Most laparoscopic surgeons have their own criteria for this treatment. Compared to laparotomy, laparoscopic myomectomy has the advantages of small incision, short hospital stay, smaller postoperative pain, fast recovery. Laparoscopic myomectomy is possible if the techniques of laparoscopic suturing skills are managed only. The laparoscopic myomectomy is the best option for future fertility also.Patients with submucous fibroids should be treated via hysteroscopy. The data are not sufficient to determine whether vaginal delivery should attempted, or whether cesarean section should be advised in the group of patients when a myoma distorts the endometrial cavity.
Authors and Affiliations
Ewa Surynt, Magdalena Czekańska, Kornelia Tomaszewska, Grzegorz Jakiel
Keywords
Related Articles
- EP ID EP54034
- DOI -
- Views 172
- Downloads 0
Transformujący czynnik wzrostu beta w raku podstawnokomórkowym, kolczystokomórkowym i rogowiaku kolczystokomórkowym
Wstęp. Transformujący czynnik wzrostu β (TGFβ) aktywuje kaskady sygnałowe regulujące proliferację komórek, ich różnicowanie, apoptozę, odpowiedź immunologiczną i angiogenezę. W początkowych stadiach transformacji nowotwo...
Aging – what’s new?
Skin aging is a natural process, which consists in reducing the biological activity of body’s cells, slowing down regenerative processes and loss of adaptability. The decisive role is played by genetic factors and associ...
Cognitive impairment and an episode of major depression as independent factors of delirium after cardiac surgery. Prospective observational study
Introduction. Delirium is a frequent and serious complication of cardiac surgery. However, the knowledge regarding risk factors of delirium is still limited. The aim of the current study is to assess whether cognitive im...
Czynniki aktywacji osteoblastów u pacjentów zakażonych HIV leczonych antyretrowirusowo
<b> Wstęp. </b>Choroby kości: osteoporoza, osteopenia lub jałowa martwica kości są coraz częściej rozpoznawane w trakcie skojarzonej terapii antyretrowirusowej (cARV) u pacjentów zakażonych wi...
Mitral valve infective endocarditis complicating hypertrophic obstructive cardiomyopathy – still a current problem
Infective endocarditis in the course of hypertrophic cardiomyopathy is rare. Literature reports mainly contain descriptions of clinical cases, and therefore the risk assessment of infective endocarditis in patients with...