Fibrome et grossesse : quand le traitement médical ne suffit pas

Pelissier-Komorek, A.; Hamm, J; Bonneau, S.; Derniaux, E.; Hoeffel-Fornes, C; Graesslin, Olivier

doi:10.1016/j.jgyn.2011.10.002

Cited by 7 publications

(2 citation statements)

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“…In fact, if the pharmacological treatment is not effective in alleviating the symptoms in 72 h, surgical intervention must be considered. [349] In the case reported here, the patient had increased the size of myoma and elevated liver pressure symptom; however, her creatinine level was normal during all durations of pregnancy. In patients like the one reported here, emergency surgery is important.…”

Section: Discussionmentioning

confidence: 63%

“…When removal of myoma becomes critical, laparoscopy, laparotomy, and minilaparotomy are discussed, with each having advantages and disadvantages. [4] Laparoscopy is preferred to other procedures, being associated with reduction of pain, fast recovery, shorter hospital stay, and absence of large and unaesthetic scars. However, this and alternative surgeries including minilaparotomy have potential short- and long-term complications, especially for women with symptomatic uterine myomas.…”

Section: Introductionmentioning

confidence: 99%

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Successful Myomectomy in the Second Trimester of Pregnancy

Allameh

2019

Adv Biomed Res

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The prevalence of uterine myomas during pregnancy is estimated to be small. However, a significant fraction of these could lead to pregnancy complications. Myomectomy is rarely performed during pregnancy because of fear of miscarriage and the risk of uncontrolled hemorrhage necessitating hysterectomy. This article reports on a case of myomectomy of subserous leiomyoma that was causing septic necrosis, leukocytosis, rise of inflammatory markers (erythrocyte sedimentation rate and C-reactive protein), and pressure symptom on the liver. Myomectomy was performed at 20 weeks of gestation. The pregnancy continued with no further problems, and at 39 weeks and 1 day of gestation, vaginal delivery resulted in a healthy baby. It is postulated that when myomectomy is performed in carefully selected patients, it prevents sepsis due to myoma torsion and necrosis and also protects surrounding organs against damage.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%