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https://www.readbyqxmd.com/read/29454580/are-synechiae-a-complication-of-laparotomic-myomectomy
#1
Perrine Capmas, Anne-Gaelle Pourcelot, Hervé Fernandez
Laparotomic myomectomy is often the only realistic solution for symptomatic women with multiple or large myomas who wish to retain their fertility. The aim of this study was to document the rate of uterine synechiae and their associated risk factors after laparotomic myomectomy. This prospective observational study took place in a teaching hospital from May 2009 to June 2014. It included all women aged 18-45 years who had laparotomic myomectomies (without diagnostic hysteroscopy at the time of surgery) for myomas and a postoperative diagnostic office hysteroscopy 6-8 weeks later...
February 2, 2018: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/29444699/the-hyster-study-the-effect-of-intracervically-administered-terlipressin-versus-placebo-on-the-number-of-gaseous-emboli-and-fluid-intravasation-during-hysteroscopic-surgery-study-protocol-for-a-randomized-controlled-clinical-trial
#2
Lucilla E Overdijk, Bart M P Rademaker, Paul J M van Kesteren, Peter de Haan, Robert K Riezebos, Oscar C H Haude
BACKGROUND: Transcervical resection of myoma or endometrium is a safe, hysteroscopic, minimally invasive procedure. However, intravasation of distension fluid is a common phenomenon during these procedures. In a previous study we observed venous gas emboli in almost every patient. The severity of hysteroscopic-derived embolization has been shown to be correlated to the amount of intravasation. In addition, paradoxical gas embolism, which is potentially dangerous, was observed in several patients...
February 14, 2018: Trials
https://www.readbyqxmd.com/read/29435020/analysis-of-the-effect-of-laparoscopy-and-hysteroscopy-on-ovarian-function-immune-function-and-quality-of-sexual-life-of-patients-with-hysteromyoma-at-different-ages
#3
Yuxue Zhang, Xiaoli Gu, Yuejin Meng, Haizhou Guo, Jiehua Du, Wei Xing
This study aims to comparatively analyze the impact of laparoscopic myomectomy (LM) and transcervical resection of myoma (TCRM) on ovarian function, immune function and quality of sexual life of patients with hysteromyoma. Two hundred and forty patients with hysteromyoma admitted into the Second Affiliated Hospital of Zhengzhou University from June 2014 to June 2016 were divided into laparoscopic myomectomy group (LM group, n=120) and transcervical resection of myoma group (TCRM group, n=120) according to random figure table...
March 2018: Oncology Letters
https://www.readbyqxmd.com/read/29417281/morbidity-fertility-and-pregnancy-outcomes-after-myoma-enucleation-by-laparoscopy-versus-laparotomy
#4
Sudip Kundu, C Iwanuk, I Staboulidou, G-J Garcia-Rocha, P Soergel, H Hertel, P Hillemanns, C Schippert
OBJECTIVES: Myomas are defined as benign tumours that arise from smooth muscle cells of the uterus. Clinically, they are found in 5-77% of women of reproductive age. The prevalence rate varies considerably in the literature and a large number of fibroids do not cause symptoms. The lifetime risk of acquiring myomas is 70% for Caucasian women and ≥ 80% for African American women. MATERIALS/METHODS: The data of 265 patients undergoing surgery for symptomatic myomas by laparoscopy or laparotomy, performed in the gynaecological department of Hannover Medical School, Hannover, Germany, between 2009 and 2013, were retrospectively analysed in this retrospective design study...
February 7, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29408988/matrix-metalloproteinase-activity-correlates-with-uterine-myoma-volume-reduction-after-ulipristal-acetate-treatment
#5
Guillaume E Courtoy, Patrick Henriet, Etienne Marbaix, Matthieu de Codt, Mathieu Luyckx, Jacques Donnez, Marie-Madeleine Dolmans
Context: Ulipristal acetate (UPA), a selective progesterone receptor modulator, clinically reduces uterine myoma size in 80% of cases. However, the molecular mechanism of action is still poorly understood, as is the reason why 20% of myomas do not respond to treatment. Objective: To elucidate whether matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) are associated with myoma volume shrinkage after UPA therapy. Design: Prospective study...
February 1, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29408695/irrigation-after-laparoscopic-power-morcellation-and-the-dispersal-of-leiomyoma-cells-a-pilot-study
#6
Steve P Yu, Bruce B Lee, Michelle N Han, Clara Chan, Jianyu Rao, Mary Levin, Po Chu Fung, William Parker
STUDY OBJECTIVE: To evaluate if copious irrigation and suctioning after electro-mechanical power morcellation will reduce myoma cell dissemination, and if there is a difference between sterile water and normal saline. DESIGN: Prospective single-center cohort pilot study (Canadian Task Force Classification II-2) SETTING: Academic tertiary referral center PATIENTS: Sixteen women undergoing laparoscopic myomectomy with one surgeon between January 1, 2017 and August 31, 2017...
January 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29399968/utility-of-18f-fluorodeoxyglucose-positron-emission-tomography-in-the-differential-diagnosis-of-benign-and-malignant-gynaecological-tumours
#7
Hiroaki Takagi, Jinichi Sakamoto, Yasuhiro Osaka, Takeo Shibata, Satoko Fujita, Toshiyuki Sasagawa
INTRODUCTION: Positron emission tomography/computed tomography (PET/CT) involving 18F-fluorodeoxyglucose (FDG) is widely used for systemic cancer and recurrence diagnosis. However, the differential diagnosis of benign and malignant gynaecological tumours according to FDG accumulation is unclear. This study aimed to investigate the intensity of FDG uptake/metabolic activity for the differential diagnosis of benign and malignant gynaecological tumours. METHODS: This study included seven patients with physiological phenomena, 34 with benign tumours, 13 with borderline malignant tumours and 119 with malignant tumours who underwent 18F-FDG PET/CT...
February 5, 2018: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/29395222/contrast-enhanced-ct-findings-of-intravenous-leiomyomatosis
#8
H Wang, P Nie, B Chen, F Hou, C Dong, F He, W Xu
AIM: To characterise the contrast-enhanced computed tomography (CT) imaging findings of nine patients with intravenous leiomyomatosis (IVL). MATERIALS AND METHODS: The contrast-enhanced CT imaging findings of nine patients with histopathologically proven IVL were examined. The location, morphology, extension pathway, adhesion, and degree and pattern of enhancement of the tumour were assessed. RESULTS: Four patients had tumours located within the inferior vena cava, and five had tumours that involved the right heart...
January 30, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29394568/-which-should-be-treated-first-breast-cancer-or-uterine-myoma
#9
Keiko Hayashi, Mina Waraya, Takeyoshi Habiro, Satoshi Hosoya, Kouich Yamamoto, Norihiko Sengoku, Kazushige Hayakawa, Madoka Inukai, Masahiko Watanabe
The patient was a 51-year-old woman with a mass in the left breast.At the first presentation, she had abdominal distension and liver dysfunction.Mammography showed a category 5 mass in the left breast and a category 4, unstructured region in the right breast.Pathological examination revealed bilateral, invasive ductal carcinomas.Stage II B disease(clinical T2N1M0)was diagnosed in the left breast, and Stage I disease(clinical T1N0M0)was diagnosed in the right breast.Computed tomography revealed a massive uterine myoma compressing the inferior vena cava...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29391675/use-of-hysteroscopy-in-abnormal-uterine-bleeding-an-edge-over-histopathological-examination
#10
Parul Sinha, Nidhi Yadav, Uma Gupta
Purpose of the Study: To assess the efficacy of hysteroscopy in diagnosis of AUB. Method: A total of 56 women in reproductive and peri-menopausal age group (20-50 years) with complaints of abnormal uterine bleeding were enrolled in the study. All the patients underwent hysteroscopic examination followed by biopsy/histopathological evaluation. Hysteroscopic findings were compared against histopathological findings. Sensitivity, specificity, PPV, NPV and accuracy of hysteroscopy were calculated...
February 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29390412/clinical-evaluation-of-improved-myosure-hysteroscopic-tissue-removal-system-for-the-resection-of-type-ii-submucosal-myomas
#11
Yufei Liang, Yuefang Ren, Zeqiu Wan, Lihua Guo, Jie Dong, Yun Chen, Liping Lv
This study aims to determine whether clinical evaluation of improved MyoSure hysteroscopic tissue removal system can remove type II submucosal myomas with safety and high success rate of the first operation.Fifty-three patients with type II submucosal myomas hospitalized in the Huzhou Maternity and Child Care Hospital were enrolled in this study. The submucosal myomas were with the diameter of >2 cm and ≤5 cm. All patients have surgical indications.Fifty-one of 53 hysteromyomas were successfully resected through 1-time operation...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390219/-combined-treatment-of-endometriosis-radical-yet-gentle
#12
Ibrahim Alkatout, Thilo Wedel, Nicolai Maass
Endometriosis is the second most common benign female genital disease after uterine myoma. This review discusses the management of individual patients. This should take into account the severity of the disease and whether the patient desires to have children. Particular emphasis is laid on the anatomical intersections which, when injured, can lead to persistent damage of the anterior, middle or posterior compartment and are not infrequently the cause of urological and urogynaecological follow-up measures. Typical symptoms of endometriosis include chronic pelvic pain, subfertility, dysmenorrhoea, deep dyspareunia, cyclical bowel or bladder symptoms (e...
February 2018: Aktuelle Urologie
https://www.readbyqxmd.com/read/29372160/is-robot-assisted-laparoscopic-myomectomy-limited-in-multiple-myomas-a-feasibility-for-ten-or-more-myomas
#13
Hyunkyung Kim, Suhyun Shim, Youngbin Hwang, Minkyoung Kim, Hyejin Hwang, Younjee Chung, Hyun-Hee Cho, Mee-Ran Kim
Objective: To evaluate the feasibility of robot-assisted laparoscopic myomectomy in multiple myomas over 10. Methods: A retrospective study was conducted for 662 patients who underwent robot-assisted laparoscopic myomectomy and open myomectomy by a single operator in a tertiary university hospital. Results: A total of 30 women underwent removal of 10 or more uterine myomas by robotics and 13 patients were selected for this study. The average number of myomas removed was 13...
January 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29372159/the-expression-of-m%C3%A3-llerian-inhibiting-substance-anti-m%C3%A3-llerian-hormone-type-ii-receptor-in-myoma-and-adenomyosis
#14
Shin Young Kim, Hye Min Moon, Min Kyoung Lee, Youn Jee Chung, Jae Yen Song, Hyun Hee Cho, Mee Ran Kim, Jang Heub Kim
Objective: We compared the expression levels of Müllerian inhibiting substance (MIS)/anti-Müllerian hormone type II receptor (AMHRII) in uterine myoma and adenomyosis to evaluate the possibility of using MIS/anti-Müllerian hormone (AMH) as a biological regulator or therapeutic agent in patients with uterine leiomyoma and adenomyosis. Methods: We studied normal uterine myometrium, leiomyoma, endometrial tissue, and adenomyosis from 57 patients who underwent hysterectomy for uterine leiomyoma (22 cases) or adenomyosis (28 cases) and myomectomy for uterine myoma (7 cases)...
January 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29364368/initial-experience-with-single-port-robotic-hysterectomy
#15
Mariano Tamura Vieira Gomes, Andréa Maria Novaes Machado, Sérgio Podgaec, Gustavo Anderman Silva Barison
OBJECTIVE: This article presents the first series of robotic single-port hysterectomy cases performed at a hospital in Brazil. METHODS: From November 2014 to October 2016, 11 patients were indicated to undergo, and nine of them were submitted to single-port hysterectomy using da Vinci Single-Site® platform. However, in two patients, due to multiple previous abdominal surgeries, large uterine volume, and/or a uterus with no mobility, a pneumoperitoneum was performed with a Verres needle, and the pelvic cavity was assessed using a 5mm optics endoscope...
October 2017: Einstein
https://www.readbyqxmd.com/read/29362335/-a-case-report-of-resectable-leiomyosarcoma-of-the-duodenum-origin-invading-to-the-inferior-vena-cava
#16
Yoshiyuki Owada, Seiji Haji, Riki Asakura, Kouta Yamada, Kentaro Kawasaki, Tetsuya Ienaga, Yoshihiro Ikura, Yasuhiro Iwai
A 40's woman had a complaint of abdominal and back pain. Enhanced CT visualized a large retroperitoneal tumor and huge multiple myomas of the uterus. The tumor was 10cm in diameter and located in the anterior of the inferior vena cava, and progressed from the posterior of the duodenum to the abdominal aortic bifurcation. Diffusion-weighted MR image showed the tumor with high signal intensity. Upper gastrointestinal endoscopy revealed a type 2 tumor at the anal side of the Vater. The patient was performed curativly abdominal total hysterectomy and pancreaticoduodenectomy with inferior vena cava resection...
January 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29344224/long-term-outcomes-of-microwave-endometrial-ablation-for-treatment-of-patients-with-menorrhagia-a-retrospective-cohort-study
#17
Kohei Nakamura, Kentaro Nakayama, Kaori Sanuki, Toshiko Minamoto, Tomoka Ishibashi, Emi Sato, Hitomi Yamashita, Masako Ishikawa, Satoru Kyo
This study aimed to describe the long-term outcomes of patients with menorrhagia treated with microwave endometrial ablation (frequency, 2.45 GHz), as well as to identify factors associated with recurrence or re-surgery. This retrospective cohort study was conducted from 2007 to 2015 at Shimane University Hospital in Japan. Patients with severe menorrhagia and a desire to preserve their uterus were included in the study. Clinical factors associated with recurrence of menorrhagia or re-surgery were analyzed with a multivariable logistic regression model...
December 2017: Oncology Letters
https://www.readbyqxmd.com/read/29338440/selective-progesterone-receptor-modulators-current-applications-and-perspectives
#18
N Chabbert-Buffet, K Kolanska, E Daraï, P Bouchard
Selective progesterone receptor modulators (SPRMs) are steroid progesterone receptor ligands able to induce agonistic or antagonistic activities. Mifepristone, the class leader, was primarily used for pregnancy termination from the 1980s. Emergency contraception with extended activity was the second major development 30 years later, with mifepristone in some countries and ulipristal acetate world-wide. More recently, ulipristal acetate was released for the treatment of myoma-related uterine bleeding. In addition to a very rapid cessation of bleeding, SPRMs allow a decrease in myoma volume, as do gonadotropin releasing hormone analogs...
January 17, 2018: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29335010/acute-intestinal-obstruction-due-to-extrinsic-compression-by-previa-myoma-and-ectopic-pregnancy-a-case-report
#19
Harissou Adamou, Ibrahim Amadou Magagi, Souleymane Oumarou Garba, Oumarou Habou
BACKGROUND: Acute intestinal obstruction during pregnancy is a rare digestive surgical emergency with significant maternal and fetal mortality. Diagnosis is difficult, often delaying the management. Here, we report an exceptional association of mechanical acute intestinal obstruction due to compression by previa uterine leiomyoma, and a ruptured ectopic pregnancy. CASE PRESENTATION: This is the case report of a 43-year-old primiparous black woman from a rural area, who was admitted to the surgical emergency department for acute intestinal obstruction...
January 16, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29325261/-consensus-for-diagnosis-and-treatment-of-uterine-myoma
#20
(no author information available yet)
No abstract text is available yet for this article.
December 25, 2017: Zhonghua Fu Chan Ke za Zhi
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