Uterine suspension with adjustable sutures for difficult laparoscopic myomectomy

Conclusions USAS is an easy, safe, and feasible alternative to uterine manipulation when performed concomitantly with LM for unfavorably localized uterine leiomyomas. .
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Uterine myomas may have significant detrimental effects on menstruation and fertility. Regardless of their location within the uterus, they may reduce the chance of successful embryo implantation (clinical pregnancy) by 50% and increase the risk of pregnancy loss (1). While the negative impact of myomas on fertility seems clear, there is still no strong evidence regarding the influence of their removal on conception. Indeed, the latest Practice Bulletin from 2017 of the Practice Committee of the American Society for Reproductive Medicine (2) concludes that “myomectomy is generally not advised to improve pregnancy out...
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Reflections Source Type: research
Uterine fibroids (UFs) are benign monoclonal neoplasms, representing the most common solid tumor of the female genital tract in reproductive-aged women. Despite the incidence being generally high worldwide (70% –80% in women by the age of 50 years), UFs affect ≤80% of women in some particular populations (African-American women). Furthermore, UFs are relative common in pregnancy and might negatively influence its outcomes (1). Uterine fibroids are generally asymptomatic; however, when symptoms occur, they might impair normal functioning and affect quality of life, most widely causing abnormal uterine bleeding...
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Reflections Source Type: research
Purpose of review To investigate the JZE alterations in gynecological and obstetrical disorders and impact on diagnosis, prognosis and treatment. Recent findings JZE was found to be significantly extended in patients with endometriosis, leading to the conclusion that endometriosis is a primary disease of the uterus, much like adenomyosis. Statistical correlation was then demonstrated between the severity of endometriosis and the depth of the adenomyosis infiltrates, hence the thickening of the JZE. Stem cells, predominantly found in the JZE were also found in histological sections of leiomyoma, suggested to be the ori...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: WOMEN'S HEALTH: Edited by Joseph Aquilina Source Type: research
This article reports on a case of myomectomy of subserous leiomyoma that was causing septic necrosis, leukocytosis, rise of inflammatory markers (erythrocyte sedimentation rate and C-reactive protein), and pressure symptom on the liver. Myomectomy was performed at 20 weeks of gestation. The pregnancy continued with no further problems, and at 39 weeks and 1 day of gestation, vaginal delivery resulted in a healthy baby. It is postulated that when myomectomy is performed in carefully selected patients, it prevents sepsis due to myoma torsion and necrosis and also protects surrounding organs against damage. PMID: 31673533 [PubMed]
Source: Biomed Res - Category: Research Authors: Tags: Adv Biomed Res Source Type: research
Conclusions: The surgeons performing LM in women pre-treated with UPA should be aware of the abnormal texture of enucleated myomas. Nevertheless, this does not negatively affect the other surgical and clinical outcomes of these patients. PMID: 31617772 [PubMed - as supplied by publisher]
Source: Minimally Invasive Therapy and Allied Technologies - Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
Publication date: Available online 15 October 2019Source: Case Reports in Women's HealthAuthor(s): Hiroshi Sato, Yukako Mizuno, Sunao Matsuzaka, Tatsuro Horiuchi, Shota Kanbayashi, Miho Masuda, Ayaka Nakashima, Makiko Ikeda, Miki Yasuda, Hajime Morishita, Yukiko Ando, Kenji Oida, Nao Taguchi, Masaya HiroseAbstractAbdominal pregnancy is a rare form of ectopic pregnancy. Various sites of implantation in abdominal pregnancy have been reported. Uterine serosa is an extremely rare implantation site, with only a few cases reported to date. No case of abdominal pregnancy implanted on the surface of a subserosal uterine leiomyoma ...
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
Abstract Females with symptomatic leiomyomas (fibroids) wishing to maintain fertility are faced with difficult treatment choices. These include uterine fibroid embolization (UFE), myomectomy, hormonal therapy, MRI high intensity focused ultrasound, and myolysis. This review focuses on UFE, one of the most commonly accepted minimally invasive procedural choices among patients with symptomatic fibroids wishing to retain the option of becoming pregnant in the future, and makes comparisons to myomectomy which has historically been the surgical choice for fertility-preserving fibroid treatment. Pubmed and Google Schola...
Source: The British Journal of Radiology - Category: Radiology Authors: Tags: Br J Radiol Source Type: research
The North American Menopause Society (NAMS) held the 2018 Utian Translational Science Symposium on October 2, 2018, in San Diego, California, to discuss new therapeutic approaches to uterine leiomyomas when surgery is not the optimal choice. Uterine leiomyomas arise from a single clonal cell and are the most common gynecologic disorder affecting reproductive and perimenopausal women worldwide. The prevalence of this disorder is approximately 40% to 70% in white women and 60% to 80% in black women. Recent research suggests that both estrogen and progesterone modulate the growth of leiomyomas, with progesterone being a majo...
Source: Menopause - Category: OBGYN Tags: NAMS Translational Science Symposium Report Source Type: research
Uterine leiomyomas are often discovered during early pregnancy and in most cases will have no effect on pregnancy outcomes. However, in rare cases uterine leiomyomas may lead to obstetric complications. The ai...
Source: BMC Women's Health - Category: OBGYN Authors: Tags: Research article Source Type: research
CONCLUSION: Given the myometrial defects and placenta increta observed in a pregnancy after uterine artery embolization without documented fibroids or uterine surgery, consideration should be given to antenatal myometrial thickness surveillance. PMID: 31285167 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
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