OBJECTIVE To evaluate the safety and clinical efficacy of transcatheter uterine artery embolization (UAE) for post-myomectomy hemorrhage. MATERIALS AND METHODS We identified eight female patients (age ranged from 29 to 51 years and with a median age of 37) in two regional hospitals who suffered from post-myomectomy hemorrhage requiring UAE during the time period from 2004 to 2012. A retrospec...

Following laparoscopic myomectomy, uterine rupture during pregnancy or delivery in the area of the scar is a very rare but dangerous complication. Individual cases of uterine rupture during pregnancy are described in the literature. Case report of uterine rupture during delivery in a patient who had previously undergone laparoscopic myomectomy. In the case presented here, the patient conceived ...

BACKGROUND Uterine fibroids often require a hysterectomy or myomectomy via laparotomy or laparoscopy. Morcellation is often necessary to perform a laparoscopic surgery. The objective of this study is to determine the incidence of unexpected uterine sarcomas (UUSs) after hysterectomy and myomectomy for uterine fibroids and to reduce the occurrence and avoid the morcellation of UUSs by analyzing ...

T he uterus is the most common site to develop smooth muscle tumors. Uterine fibroids (leiomyomas) contain benign smooth muscle and fibrous tissues. Twenty percent to 40% of reproductive age women develop uterine fibroids, with a higher incidence in African Americans. Although the decline in hormonal stimulation causes most fibroids to regress at menopause, 20% become symptomatic before then. U...

Uterine leiomyomas are the commonest benign tumours in women, which estrogen-dependent and grow during reproductive life. Standard treatment for leiomyoma is hysterectomy or myomectomy according to women's age fertility. Prostaglandins particularly PGE1 as misoprostol have an impact on uterine contractions decrease blood loss.

Minimal Access Surgery is increasingly becoming popular in almost all areas of surgery. Likewise laparoscopic myomectomy in carefully selected cases is becoming the method of choice over the conventional open approach for treatment of uterine myoma. The advantages of Laparoscopic myomectomy cannot be over emphasized [1,2]. However, the main concern has been the integrity of the scar in subseque...

BACKGROUND Following myomectomy, postoperative adhesions occur in many patients with adverse effects on fertility. This study investigated the applicability, safety and efficacy of an auto-crosslinked hyaluronan gel in preventing adhesion formation after laparoscopic myomectomy. METHODS Fifty-two patients aged 22-42 years, undergoing surgery at four centres, were randomly allocated to receive...

BACKGROUND AND OBJECTIVES This study was conducted to determine the feasibility and effectiveness of transient occlusion of the uterine arteries (TOUA) during laparoscopic surgery for benign uterine tumors, with preservation of fertility. METHODS Patients with uterine myoma or adenomyoma underwent laparoscopic uterine surgery, with or without TOUA, performed by a single surgeon (Y.-S.K.). Sur...

background: hoxa11 and hoxa10 are expressed in endometrium throughout the menstrual cycle and show a dramatic increase during the mid-luteal phase at the time of implantation. the expression of these genes is decreased in women with myomas. objective: to determine whether myomectomy would reverse hoxa11 and hoxa10 expression, we evaluated the transcript levels of these genes in the endometria o...

Aims: Laparoscopic myomectomy (LM) has been the gold standard treatment for uterine fibroids in women desiring uterine conservation. To evaluate a new fibroid treatment modality - radiofrequency volumetric thermal ablation (RFVTA) - we compare 12-month results in women who had symptomatic uterine fibroids and who were randomized to laparoscopic ultrasound-guided RFVTA or LM. Materials and Metho...