BACKGROUND To evaluate the feasibility and effectiveness of reversible ligating clips to block uterine arteries and reduce operative blood loss during laparoscopic myomectomy (LM). METHODS Twenty consecutive women with symptomatic uterine fibroids desiring to preserve the uteri underwent laparoscopic surgery with ligation of the uterine arteries with ligating clips, followed by myomectomy and...

BACKGROUND Hysteroscopy is a safe and high efficient procedure so it is changing to a widespread procedure in dealing with many gynecologic and obstetrical conditions. OBJECTIVE This study aimed to evaluate the diagnostic and therapeutical efficiency of hysteroscopy in managing the common conditions including abnormal uterine bleeding, abortion and infertility. MATERIALS AND METHODS This wa...

BACKGROUND Uterine leiomyomas are the commonest benign tumors in women, with a higher preponderance amongst Africans. Several etiological factors have been suggested, with subtle variations in clinical presentation being reported in different studies. This may constitute a determinant for the management measures undertaken. AIM To review the clinical presentation and management measures under...

Morcellation allows the removal of a large uterus and fibroids through small incisions with minimally invasive surgery. It helps to prevent complications associated in both hysterectomy myomectomy operations. Currently, there is much debate regarding use power morcellation laparoscopic myomectomy, mainly due risk peritoneal dissemination undiagnosed uterine sarcomas. Unfortunately, no valid pre...

A 31-year-old nulligravid woman who underwent laparoscopically assisted myomectomy 5 months before becoming pregnant suffered uterine rupture at 35 weeks gestation. A 50 g intramuscular myomatous node had been removed laparoscopically. Early signs of rupture included sudden onset of severe abdominal tenderness and frequent uterine contractions despite reassuring FHR tracing. Variable decelerati...

Objective: Since laparoscopic surgery has more limitations than laparotomy; thus, it needs ingenuity. Herein, we will examine and report the ideas use for myomectomy at our hospital.

OBJECTIVES The aim of this study is to evaluate the cost-effectiveness of Magnetic Resonance Guided Focused Ultrasound (MRgFUS) compared with alternative treatments for uterine fibroids in the United States. METHODS We used techniques of decision analysis and data from secondary sources to develop and estimate an economic model of the management of uterine fibroids among premenopausal women. ...

BACKGROUND To compare one-year all-cause and uterine fibroid (UF)-related direct costs in patients treated with one of the following three uterine-sparing procedures: magnetic resonance-guided focused ultrasound (MRgFUS), uterine artery embolization (UAE) and myomectomy. METHODS This retrospective observational cohort study used healthcare claims for several million individuals with healthcar...

Results: Conventional slicing technique had longer operative time than slice and excise technique with a statistically significant difference p<0.05. In 3/17(17.6%) of conventional slicing technique, incomplete surgery with a second session was needed. In one case of slice and excise technique 1/19 (5%), complete myomectomy wasn’t achieved in one session. Operative time was significantly shorte...