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Uterus myomatosus

T Kalthofen, R W Krätschell, M David
Purpose: What is the average duration of sick leave and the postoperative impairment to daily living in dependence on the size of the removed myoma? Does patient satisfaction depend on the size of the removed myoma? Is there a difference in the rate of improvement of symptoms depending on the size of the myoma? Patient Collective: This is a retrospective survey of the data of 377 consecutive female patients treated for symptomatic uterus myomatosus by open abdominal myoma enucleation between 2/2002 and 12/2009; the number of removed myomas, myoma size and localisation, myoma-associated complaints, length of sick leave, postoperative impairments of daily living and scar length were assessed...
May 2015: Geburtshilfe und Frauenheilkunde
Richard Magdeburg, Georg Kaehler
BACKGROUND: NOTES is a technique in which an operation is performed within the body without a skin incision by using a natural body orifice to provide access. The principal challenge of transgastric NOTES procedures is still the feasibility and safety of access closure. Currently, there are very limited data regarding the closure of transgastric NOTES in humans, and the standard method and device for closure has not been defined. Herein, we evaluate the feasibility and safety of gastric closure after NOTES procedures in humans with the over-the-scope clip (OTSC)...
January 2016: Surgical Endoscopy
K Floss, G-J Garcia-Rocha, S Kundu, C S von Kaisenberg, P Hillemanns, C Schippert
Introduction: Besides the typical complaints and symptoms, myomas can cause sterility, infertility and complications during pregnancy. Laparoscopic interventions reach their limits with regard to organ preservation and the simultaneous desire to have children in the removal of multiple and larger intramural myoma nodes. The aim of this study is to examine fertility status and pregnancy outcome after myoma removal by minilaparotomy (skin incision maximal 8 cm) in women with pronounced uterus myomatosus. Materials and Methods: This retrospective study makes use of the data from 160 patients with an average age of 34...
January 2015: Geburtshilfe und Frauenheilkunde
Uwe Wollina, Jacqueline Schönlebe
BACKGROUND: Cutaneous mosaicism is a possible cause of segmental skin diseases. Cutaneous leiomyomatosis represent a spectrum of conditions ranging from single lesions to disseminated wide distribution. Reed's syndrome, is an autosomal dominant disorder characterized by multiple cutaneous and uterine leiomyomas. MAIN OBSERVATION: We observed a segmental cutaneous piloleimyomatosis type 1 in a 55-year old female who had an uterus extirpation because of uterine leiomyomas...
September 30, 2014: Journal of Dermatological Case Reports
E Pálová, A Maľová, L Hammerová, M Redecha
The purpose of this study was to determine the frequency, indications, complications and risk factors associated with peripartum hysterectomy carried out at our clinical department between 1st January 2008 and 31th December 2012. Peripartum hysterectomy was defined as a hysterectomy performed less than 48 hours after delivery. Clinical characteristic and obstetric histories were retrospectively reviewed between 5 years. There were 20 emergency peripartum hysterectomies among 13 660 deliveries at our department...
June 2014: Ceská Gynekologie
Garri Tchartchian, Konstantinos Gardanis, Bernd Bojahr, Rudy Leon de Wilde
BACKGROUND AND OBJECTIVES: The aim of this study was to evaluate postoperative patient satisfaction in women after laparoscopic supracervical hysterectomy (LASH). METHODS: A retrospective study by a mailed questionnaire among 2334 women who underwent hysterectomy via LASH at the MIC-Klinik, Berlin, between 1998 and 2004 was conducted. Indications for LASH were uterus myomatosus, adenomyosis uteri, disorders of bleeding, and genital descensus. The LASH operation technique was standardized and remained consistent throughout the observation period...
January 2013: JSLS: Journal of the Society of Laparoendoscopic Surgeons
G Tchartchian, J Dietzel, B Bojahr, A Hackethal, R L De Wilde
To perform hysterectomy in uterus myomatosus, there are several surgical techniques. For a uterine weight of >1000 g, after a caesarean section and in nullipara per vaginam, the most common surgical technique for hysterectomy in patients is hysterectomy per laparotomiam. A new endoscopical technique developed to treat such patients and to avoid laparotomy is described in this case report: the laparoscopic combined hysterectomy (LACH) using the change-over technique. Adhesiolysis, preparation of the ureters and the bladder and morcellation of the uterus of 2480 g were performed minimally-invasive in two steps, from one side of the patient with a change-over of the OP-team to the other side of the patient...
2010: International Journal of Surgery Case Reports
M L J Scheer, D J Slebos, D H Bogchelman, W Timens
A 49-year-old woman, who had undergone a hysterectomy 17 years previously, was referred with thoracic pain located on the right side that had been present for several weeks. Thoracic imaging showed multiple pulmonary lesions on both sides. Histological investigation of a biopsy from one of these lesions revealed a benign metastatic leiomyoma. The patient was treated with gonadotropin-releasing hormone (GnRH) analogue. The lesions showed regression and the symptoms disappeared. Benign metastatic leiomyoma is a rare benign clinical entity in women of fertile age who have had a surgical intervention on the uterus because of uterus myomatosus...
September 13, 2008: Nederlands Tijdschrift Voor Geneeskunde
F B Lammes
M.A. Mendes de Leon (1856-1924) was appointed private lecturer at the Department of Obstetrics of the University of Amsterdam in 1884. He promoted gynaecology in the Netherlands as a separate speciality, partly because of the new surgical possibilities following the discoveries of anaesthesia and antisepsis, but also due to the prevailing belief that the physiology of reproduction qualified the physical and psychological disorders of women. In his private gynaecological clinic he devoted himself to the surgery of ovarian tumours, uterus myomatosus and genital prolapse, but also to the diagnosis and treatment of supposed inflammations of the cervix and endometrium as cause of psychological disorders...
April 19, 2008: Nederlands Tijdschrift Voor Geneeskunde
Th Schollmeyer, I Meinhold-Heerlein, C Walter, L Venhoff, St Müller-Hülsbeck
Myomas are the most frequent benign, solid tumours of the female genital tract in women of reproductive age. These tumours are estrogen dependent and their incidence rises with increasing age. A large number are asymptomatic, while others often cause bleeding disturbances or displacement complaints. Increasingly more women with uterus myomatosus desire to have children at a later age. In addition, progressively more women with myoma conditional complaints who have finished their family planning wish to retain their uterus...
July 2007: Therapeutische Umschau. Revue Thérapeutique
J Kunz, T Friedrich
Uterine tumours with sex cord-like differentiation are rare. They are observed, pre- and post-menopausal women between the fourth and the sixth decade and manifest themselves by haemorrhagic anomalies and usually enlarged uteri, misinterpreted as uterus myomatosus. One distinguishes between two groups on account of the share of sex cord-like elements, i.e. tumours with only focal sex cord-like differentiation with a tendency to relapses and metastatic spread, and tumours with predominant differentiation in the sense of ovarian sex cord tumours with a good prognosis because surgical treatment alone often leads to relapse-free survival...
August 2, 2007: Praxis
Z Novotný, M Králícková, V Smitková
OBJECTIVE: To survey the performance of laparoscopically assisted vaginal hysterectomy (LAVH) and other gynecologic laparoscopic operations performed in the Czech Republic. This series covers a period of 10 years, in which 23889 LAVH was performed. DESIGN: Retrospective study (Canadian Task Force classification II-3). METHODS: Two questionnaires were sent each year to more then one hundred of clinics performing laparoscopic gynecologic operations...
April 2007: Ceská Gynekologie
A Nikolov, E Tiufekchieva, R Raĭcheva
The torsion of a nongravid uterus is not of frequent occurence. The leading reasons are a presence of an adnexial formation or leiomyomas. In this case report it has been presented a 65-year old patient with a hard abdominal pain. After the gynecologic and ultrasound examination it has been found an uterus myomatosus with three intramural-subseros leiomyomas. By the following laparotomy was confirmed the ultrasound results - the uterus with big intramural-subserous leiomyoma 8-9 cm in a diameter, and two more leiomyomas - 5 cm, a torsion of the body uterus at 180 degree above the vaginal part of the cervix...
2006: Akusherstvo i Ginekologii︠a︡
K Jeremić, M Berisavac, R Argirović, M Gojnić, V Bosković, V Milenković, T Mostić
A 47-year-old patient with two previous deliveries and three deliberate abortions was admitted to the Institute of Gynecology and Obstetrics, Clinical Center of Serbia with the diagnosis of a uterine myoma and left adnexal mass. Five years previously, she had undergone excision of a malignant melanoma from her left leg. Pelvic exemination disclosed a left adnexal solid mass measuring about 100 x 80 x 80 mm and enlarged uterus 120 x 50 mm in size with myomatosus nodes on the posterior wall. After ultrasound and computed tomography examination, the patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, intracolic omentectomy and selective pelvic lymphonodectomy...
2006: European Journal of Gynaecological Oncology
Dubravko Habek, Branko Dmitrovic, Zoran Popovic, Matija Karsa, Valerija Blazicvic, Branko Rupcic, Mirna Erman Vlahovic, Ksenija Marjanovic
We present an extremely rare case of a successfully operated giant (6700 g) paraovarian myxoma and uterus myomatosus in a 49-year-old woman. Preoperative examination (biochemical investigations, ultrasound and computed tomography scan) and perioperative findings did not identify a malignant tumor so that total abdominal hysterectomy/bilateral salpingo-oophorectomy and tumorectomy was chosen to treat the patient. Histologically, the tumor was clearly differentiated from the surrounding tissue. In solid regions there were spindle-shaped cells arranged in sheaves and within the profuse, well-vascularized myxomatous stroma there were star-shaped cells...
April 2006: Journal of Obstetrics and Gynaecology Research
D Mayr, J Straub, J Müller-Höcker
This case report deals with an, in our regions, unusual diagnosis of coincidence of a genital schistosomiasis of a 30-year-old woman, coming from Africa. The female patient presented herself by a specialist because of longer lasting hypermenorrhoe. After clinical examination the patient underwent an operation because of an uterus myomatosus. The histopathological evaluation showed beside a leimyoma an expanded infestation with schistosomiasis haematobium. After pathological diagnosis the patient underwent the standard therapy with a single injection of praziquantel...
July 2005: Der Pathologe
L-C Horn, M Do Minh, J-U Stolzenburg
INTRODUCTION: Urinary tract endometriosis is rare and occurs in about 1% of all endometriotic lesions. About 30% of patients suffer from reduced kidney function at the time of diagnosis. CASE REPORT: A 49-year-old woman presented with a history of abdominal hysterectomy without adnexae because of uterus myomatosus without any signs of endometriosis 6 years before. Now she complained of dysuria and intermittent left loin pain. Sonography and retrograde pyelography demonstrated incomplete ureteric obstruction and scintigraphy revealed a partial loss of kidney function...
2004: Urologia Internationalis
Ido Ben-Ami, Eido Ben-Ami, Reuvit Halperin, David Schneider, Arie Herman
Intravenous leiomyomatosis is a rare tumor described only in women, in which benign smooth muscle cells grow into the pelvic venous channels. The tumor may cause life-threatening symptoms if there is involvement of the inferior vena cava or the right atrium. This is a case study of intravenous leiomyomatosis with left ovarian extension in a 42 years old woman. The patient was admitted for total abdominal hysterectomy due to uterus myomatosus and menorrhagia. During the operation a frozen section was sent for examination revealing intravenous leiomyomatosis...
April 2004: Harefuah
No abstract text is available yet for this article.
March 7, 1959: Die Medizinische
No abstract text is available yet for this article.
1957: Archiv Für Gynäkologie
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