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https://www.readbyqxmd.com/read/28913119/hysteroscopy-a-necessary-method-for-detecting-uterine-pathologies-in-post-menopausal-women-with-abnormal-uterine-bleeding-or-increased-endometrial-thickness
#1
Fatemeh Sarvi, Ashraf Alleyassin, Marzieh Aghahosseini, Marzieh Ghasemi, Sima Gity
OBJECTIVE: To investigate the histologic and hysteroscopic findings of post-menopausal women with uterine bleeding and asymptomatic women with increased endometrial thickness equal or more than 5 mm. MATERIALS AND METHODS: This cross-sectional study was performed between May 2014 and June 2015 on 110 post-menopausal women aged 40-82 years. The women were divided into two groups: Women with abnormal uterine bleeding (AUB group) and asymptomatic women with increased endometrial thickness (asymptomatic group)...
December 2016: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28892210/myoma-and-myomectomy-poor-evidence-concern-in-pregnancy
#2
REVIEW
Giusi Natalia Milazzo, Angelica Catalano, Valentina Badia, Maddalena Mallozzi, Donatella Caserta
AIM: Summarize the results of the many, but often underpowered, studies on pregnancy complicated by myoma or myomectomy. METHODS: Survey of the electronic PubMed database for the last two decades was conducted. We selected reviews, meta-analyses, case series, case reports, clinical studies only with statistical analysis, and guidelines from scientific societies. RESULTS: Delaying childbearing leads to an increased incidence of pregnancy complicated by fibroids or previous myomectomy...
September 11, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/28865538/removal-of-myomas-in-asymptomatic-patients-to-improve-fertility-and-or-reduce-miscarriage-rate-a-guideline
#3
(no author information available yet)
The purpose of this systematic review is to evaluate if uterine myomas impact the likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes in asymptomatic women. There is insufficient evidence to conclude that the presence of myomas reduces the likelihood of achieving pregnancy. However, there is fair evidence that myomectomy (open or laparoscopic) for cavity-distorting myomas (intramural or intramural with a submucosal component) improves pregnancy rates and reduces the risk of early pregnancy loss...
September 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28864044/transvaginal-ultrasound-for-the-diagnosis-of-adenomyosis-systematic-review-and-meta-analysis
#4
REVIEW
Marina Paula Andres, Giuliano Moysés Borrelli, Juliana Ribeiro, Edmund Chada Baracat, Mauricio Simões Abrão, Rosanne M Kho
Adenomyosis is characterized by the presence of ectopic foci of endometrial glandular tissue and/or stroma within the myometrium. The diagnosis of adenomyosis is made traditionally through histological evaluation of the post-surgical specimen. More recently, imaging with transvaginal ultrasound (TVUS) has been used for the pre-operative diagnosis of adenomyosis. As yet, there is no consensus regarding the best imaging feature or combination thereof for the non-surgical diagnosis of adenomyosis. This study systematically evaluates the literature in the last 10 years to determine the accuracy of TVUS 2D, different imaging features, enhancing methods such as TVUS 3D, elastography and color Doppler in the non-surgical diagnosis of adenomyosis...
August 29, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28852453/myomectomies-for-massive-hemoperitoneum-from-spontaneous-bleeding-of-a-uterine-myoma
#5
I Kassegne, K Kolani, B Tchangai, K Kanassoua, K Adabra, F Alassani, A K Amavi, E D J Dosseh
Massive hemoperitoneum from spontaneous bleeding of uterine myoma is an extremely rare condition, that needs urgent surgical exploration. We report a 40-year-old woman, admitted for acute onset of abdominal pain. Physical examination revealed hypovolemic shock. The hemoglobin level was of 5 g/dL. Ultrasonography revealed hemoperitoneum. Emergency surgical exploration was planned. There was hemoperitoneum of 3 L, uterine myomas with multiple subserous myomas, bleeding from superficial ruptured varice overlying the most largest subserous myoma, which measured 15 cm...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28843536/resectoscopic-surgery-for-polyps-and-myomas-a-review-of-the-literature
#6
REVIEW
Andrew Deutsch, Kirsten J Sasaki, Aarathi Cholkeri-Singh
Resectoscopic surgery is routinely performed to remove endometrial polyps and uterine myomas. A search of MEDLINE, PubMed and the Cochrane library was conducted through November 2016, for studies written in English, regardless of sample size or study type. The studies were then filtered by selecting those evaluating resectoscopic surgery. The analysis of peer-reviewed, published literature was performed to examine the clinical application of this treatment modality on patients requiring polypectomy and myomectomy...
August 23, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28835425/polycystic-ovary-syndrome-with-asynchronous-bilateral-adnexal-torsion-in-a-natural-cycle
#7
Shozo Matsuoka, Toru Kobayashi, Soshi Kusunoki, Daiki Ogishima
Cases involving polycystic ovaries (PCOs) with adnexal torsion in a natural cycle without ovulation induction are rare, and no reports of such cases have described asynchronous bilateral adnexal torsion. Here, we report a case of PCO syndrome (PCOS) with asynchronous bilateral adnexal torsion in a natural cycle. The patient was a 37-year-old woman with a history of 2 gravidas 1 para. Her primary complaint was left lower abdominal pain. Ultrasonography and MRI identified multiple uterine myomas occupying the pelvis and the left ovary, with oedematous swelling that had moved ventrally to the uterus...
August 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28826957/advantages-of-single-port-laparoscopic-myomectomy-compared-with-conventional-laparoscopic-myomectomy-a-randomized-controlled-study
#8
Dayong Lee, Seul Ki Kim, Kidong Kim, Jung Ryeol Lee, Chang Suk Suh, Seok Hyun Kim
STUDY OBJECTIVE: The study aimed to compare operative outcomes of single-port laparoscopic myomectomy (SP-LM) vs. conventional laparoscopic myomectomy (CLM), including subjective and objective cosmetic aspects. DESIGN: Canadian Task Force Classification I SETTING: University hospital. PATIENTS: Women with uterine myoma scheduled for laparoscopic myomectomy. INTERVENTIONS: Sixty-six women were randomly assigned to either the SP-LM or CLM group...
August 18, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28821471/non-surgical-management-of-myomas
#9
Shannon K Laughlin-Tommaso
Uterine myomas are a common condition and the leading cause of hysterectomy. Clinically, myomas can be challenging because they range from being asymptomatic to causing severe, debilitating symptoms and occur in many women before child-bearing is complete. Thus, women often seek uterine- conserving and non-surgical management of their myomas. In this review, the available uterine-conserving treatment options from medical management through minimally invasive procedures will be discussed. To the extent of research available, the sustainability of symptom improvement and the effects on future fertility will be reviewed...
August 15, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28819682/laparoscopy-or-laparotomy-as-the-way-of-entrance-in-myoma-enucleation
#10
REVIEW
Cristina Cezar, Sven Becker, Attilio di Spiezio Sardo, Anja Herrmann, Angelika Larbig, Vasilis Tanos, Luz Angela Torres de la Roche, Hugo Christian Verhoeven, Markus Wallwiener, Rudy Leon De Wilde
PURPOSE: Uterine myomas are the main cause of benign uterine diseases in premenopausal women. Objective of the present paper is to investigate the current best treatment modalities of myomas, depending on age of the patient and her desire to preserve fertility, as well as on clinical presentation of this pathology, such as size, number, and location of fibroids and, furthermore, on surgical experience of the gynecologist. METHODS: The design of our work is a systematic literature review of existing studies, reviews, and meta-analysis conducted in PubMed and Cochrane Library to identify relevant literature...
August 17, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28815020/advances-on-minimally-invasive-approach-for-benign-total-hysterectomy-a-systematic-review
#11
REVIEW
Marina de Paula Andres, Giuliano Moysés Borrelli, Mauricio Simões Abrão
Hysterectomy is one of the most commonly performed gynecologic surgeries, mainly for uterine myomas, abnormal uterine bleeding, and prolapses. It can be performed through several routes, each of which has its advantages and disadvantages. We conducted this systematic review to evaluate recent advances in surgical outcomes of benign total hysterectomies by any route: vaginal (VH), laparoscopic (LH), laparoscopically assisted vaginal (LAVH), single-port (SP), and robotic-assisted laparoscopy (RH). The search was applied to the PubMed electronic database by using keywords "hysterectomy" and "uterine benign disease", "adenomyosis", and "myoma"...
2017: F1000Research
https://www.readbyqxmd.com/read/28807810/unique-learning-system-for-uterine-artery-embolization-for-symptomatic-myoma-and-adenomyosis-for-obstetrician-gynecologists-in-cooperation-with-interventional-radiologists-evaluation-of-uae-from-the-point-of-view-of-gynecologists-who-perform-uae
#12
Shu Soeda, Tsuyoshi Hiraiwa, Megumi Takata, Norihito Kamo, Hirofumi Sekino, Shinji Nomura, Manabu Kojima, Hyo Kyozuka, Takeharu Ozeki, Shiro Ishii, Tadanobu Tameda, Kimisato Asano, Makoto Miyazaki, Toshifumi Takahashi, Takafumi Watanabe, Yasunori Taki, Keiya Fujimori
STUDY OBJECTIVE: To evaluate a unique learning system for uterine artery embolization (UAE) and examine its feasibility and clinical outcomes for the treatment of symptomatic uterine leiomyomas and adenomyosis when performed by obstetrician-gynecologists in cooperation with interventional radiologists (IVRs). DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: One hundred seventy-three patients who underwent UAE for symptomatic leiomyomas and adenomyosis...
August 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28805602/laparoendoscopic-single-site-myomectomy-using-conventional-laparoscopic-instruments-and-glove-port-technique-four-years-experience-in-109-cases
#13
Szu-Yu Chen, Bor-Ching Sheu, Su-Cheng Huang, Wen-Chun Chang
OBJECTIVE: To report a single surgeon's experience with 109 laparoendoscopic single-site myomectomy (LESS-M) using conventional laparoscopic instruments and a homemade glove port system. MATERIALS AND METHODS: A total of 109 consecutive women who underwent LESS-M between March 2011 and April 2015 were reviewed. RESULTS: The mean age and body mass index were 38.3 ± 6.5 years and 22.1 ± 3.0 kg/m(2). The mean diameter of the largest myoma and the mean number of myomas were 8...
August 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28764594/intraoperative-endoscopic-ultrasound-guidance-for-laparoscopic-excision-of-invisible-symptomatic-deep-intramural-myomas
#14
Bulent Urman, Aysen Boza, Baris Ata, Sertan Aksu, Tonguc Arslan, Cagatay Taskiran
The aim of this study was to evaluate the feasibility of intraoperative endoscopic ultrasound guidance for excision of symptomatic deep intramural myomas that are not otherwise visible at laparoscopy. Seventeen patients with symptomatic deep intramural myomas who underwent laparoscopic myomectomy with intraoperative endoscopic ultrasound guidance were followed up and reported. All myomas were removed successfully. The endometrium was breached in one patient. All patients were relieved of their symptoms and three patients presenting with infertility conceived...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28761872/urinary-bladder-injury-during-colonoscopy-without-colon-perforation
#15
Jung Wook Suh, Jun Won Min, Hwan Namgung, Dong-Guk Park
We report a case of urinary bladder perforation during colonoscopy. A 67-year-old female, who had undergone a transabdominal hysterectomy for uterine myomas 15 years ago, visited the emergency department with complaint of abdominal pain after a screening colonoscopy. Laparoscopic examination revealed severe adhesion between the sigmoid colon and the urinary bladder. The urinary bladder wall was weakened, and several perforation sites were found. The surgery was converted to a laparotomy. After a thorough examination, we performed primary repair for the perforation sites, followed by an omentopexy...
June 2017: Annals of Coloproctology
https://www.readbyqxmd.com/read/28755615/abdominal-leiomyosarcomatosis-after-surgery-with-external-morcellation-for-occult-smooth-muscle-tumors-of-uncertain-malignant-potential-a-case-report
#16
Antonio Macciò, Giacomo Chiappe, Paraskevas Kotsonis, Fabrizio Lavra, Michele Serra, Roberto Demontis, Clelia Madeddu
INTRODUCTION: Although rare, cases of abdominal sarcomatosis (AS) after laparotomy/laparoscopic interventions for uterine smooth muscle tumors of uncertain malignant potential (STUMP) have been reported. PRESENTATION OF CASE: We describe a rare case of diffuse abdominal sarcomatosis in a patient that some year earlier had undergone myomectomy for a suspected uterine myoma, which was histologically proven to be a STUMP. Once the patient was admitted at our Department, she underwent a diagnostic laparoscopy that confirmed a condition of peritoneal sarcomatosis disseminated through the entire abdomen, and then a laparotomic total hysterectomy, bilateral salpingo-oophorectomy, and total omentectomy, achieving a complete cytoreduction...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28753380/ct-and-mr-imaging-of-gynecologic-emergencies
#17
Yuko Iraha, Masahiro Okada, Rin Iraha, Kimei Azama, Tsuneo Yamashiro, Maho Tsubakimoto, Yoichi Aoki, Sadayuki Murayama
Gynecologic emergencies include various diseases that result from adnexal and uterine disorders. Adnexal disorders may be classified into the following three categories: (a) disorders that cause hemorrhage (hemorrhagic ovarian cysts and ectopic pregnancies); (b) disorders related to adnexal tumors (adnexal torsion and rupture of ovarian tumors); and (c) disorders related to pelvic inflammatory disease, such as tubo-ovarian abscesses. Unusual adnexal torsion, such as massive ovarian edema, isolated fallopian tube torsion, and paraovarian cyst torsion, has also been described...
September 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28735628/novel-algorithm-including-ca-125-he4-and-body-mass-index-in-the-diagnosis-of-endometrial-cancer
#18
Tamara Knific, Joško Osredkar, Špela Smrkolj, Irena Tonin, Katja Vouk, Andrej Blejec, Snježana Frković Grazio, Tea Lanišnik Rižner
OBJECTIVES: To evaluate the diagnostic and prognostic potential of preoperative serum CA-125 and HE4 levels in patients with endometrial cancer. METHODS: Prospective case-control study of 133 women who underwent surgical treatment at the University Medical Centre Ljubljana (64 patients with endometrial cancer, 69 control patients with prolapsed uterus or myoma). Serum CA-125 and HE4 levels were determined using electrochemiluminescent assays. RESULTS: Serum CA-125 and HE4 levels were significantly higher in patients with endometrial cancer, compared to the controls (p=2...
July 20, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/28734973/minimally-invasive-approaches-to-myoma-management
#19
REVIEW
Julian A Gingold, Ndeye-Aicha Gueye, Tommaso Falcone
Patients affected by the presence of leiomyomas may incur a substantial physical, emotional, social and financial toll as well as losses in their quality of life. Although many myomas are not amenable to medical therapy or hysteroscopic resection, many others are amenable to minimally invasive surgical approaches. In patients who prefer to retain their fertility, laparoscopic myomectomy should be considered the intervention of choice. In this review we expand on the surgical techniques of both conventional laparoscopic and robotic-assisted myomectomies...
July 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28732252/update-on-medical-treatment-of-uterine-fibroids
#20
REVIEW
Fátima Faustino, Margarida Martinho, José Reis, Fernanda Águas
OBJECTIVES: In this review paper, the pros and cons of the available pharmacological options for the treatment of uterine fibroids are explored, including oral progestogens, levonorgestrel intra-uterine device, gonadotropin-releasing hormone analogs and progesterone receptor modulators with an emphasis on ulipristal acetate. STUDY DESIGN: The choice of the appropriate therapeutic approach for uterine fibroids depends on several factors, including women's age, parity, childbearing aspirations and wish to preserve fertility, extent and severity of symptoms, size, number and location of myomas, risk of malignancy and proximity to menopause...
September 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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