Endoscopic management of leiomyomata.

Published

Journal Article (Review)

Prior to the advent of modern minimally invasive surgery techniques, the primary surgical management of symptomatic leiomyomata for women desiring future fertility or uterine conservation was through laparotomy. Today, many cases of intramural and subserous leiomyomata are managed with laparoscopic myomectomy and selected cases of submucosal leiomyomata are managed with hysteroscopic myomectomy. The management of leiomyomata endoscopically is one of the more challenging procedures in minimally invasive surgery and requires a skilled surgeon. Despite its benefits, such as faster postoperative recovery and potentially less postoperative adhesions compared with laparotomy, many concerns still exist. Although pregnancy rates for women with leiomyomata managed endoscopically are similar to those after laparotomy, a major worry continues to be the risk of uterine rupture. The risk is essentially unknown. Lastly, the risk of recurrence seems higher after laparoscopic myomectomy compared with laparotomy.

Full Text

Duke Authors

Cited Authors

  • Advincula, AP; Song, A

Published Date

  • May 2004

Published In

Volume / Issue

  • 22 / 2

Start / End Page

  • 149 - 155

PubMed ID

  • 15164310

Pubmed Central ID

  • 15164310

International Standard Serial Number (ISSN)

  • 1526-8004

Digital Object Identifier (DOI)

  • 10.1055/s-2004-828621

Language

  • eng

Conference Location

  • United States