Laparoscopic Myomectomy after Failure of Uterine Artery Embolization

Stringer, Nelson H.; DeWhite, April; Park, Julie; Ghodsizadeh, Anoosha; Edwards, Marjorie; Kumari, Nakka V.A.; Stringer, Erica A.

doi:10.1016/s1074-3804(05)60625-1

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…Several case reports of complications from UAE have been published. 12,[32][33][34][35][36][37][38][39][40] However, those recent series that have examined complication rates in large series of UAE cases have shown rates of significant complications in the range of 1 to 3%. 31,41,42 The most common issues that arise after UAE are management issues rather than complications.…”

Section: Uae Outcomesmentioning

confidence: 99%

Uterine Artery Embolization: State of the Art

Worthington-Kirsch

2004

Semin intervent Radiol

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Since the first report in 1995, there has been rapid expansion of uterine artery embolization as a therapy for symptomatic uterine fibroids. The published literature and clinical experience show that this procedure is safe and effective. This article discusses the history of the procedure, current issues in procedure technique, and the state of the literature regarding outcomes of embolization. Current and future research topics also are discussed.

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Section: Uae Outcomesmentioning

confidence: 99%

Uterine Artery Embolization: State of the Art

Worthington-Kirsch

2004

Semin intervent Radiol

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“…Since the publication of descriptions of the principles of interventional embolotherapy [30] and the efficacy of this treatment, there have been several case reports of typical complications [1,3,13,25,27,29,35,36,37,38,50]. Thereafter, studies with greater numbers of patients describing the whole range of complications were published.…”

Section: Treatment Of Leiomyoma By Restriction Of Blood Circulationmentioning

confidence: 99%

Embolisation of uterine arteries or laparascopic uterine artery ligation as possible treatment of uterine leiomyoma

et al. 2004

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Background: Many women with symptomatic uterine leiomyomata wish to preserve their uterus. Novel organ-and fertility-preserving treatment options such as embolisation of uterine arteries or laparascopic uterine artery ligation have frequently been discussed as viable alternatives to myomectomy. This article strives to bring together the conclusions of major studies on novel organ-preserving treatment alternatives for uterine myoma. Methods: Minimally invasive organ-preserving laparascopic myomectomy remains the best treatment option for patients with symptomatic fibroids who wish to retain their uterus. However, in certain cases other options such as embolisation or laparascopic ligation of uterine arteries can serve as viable alternatives Results: A failure rate of up to 39% and complications such as reduced fertility because of ovarian failure after transcatheter embolisation of uterine arteries might restrict the use of this method. Conclusions: For postmenopausal women, transcatheter embolisation of uterine arteries is a possible treatment alternative. Laparascopic ligation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries might also be viable for young women who desire to preserve future fertility. Further data and studies on the long-term follow-up after ligation are yet to come.

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“…Nowadays, sewing is one of the most difficult inner‐body tasks; the surgeon, using two grippers, needle and wire, ties step by step new knots, in remote‐operation, in much the same way as the sewing machine was invented to replace the repetitive movements of the human hands. Similarly, the automation of surgical seams has advantages: sewing time could be decreased and standard quality achieved; moreover to lower the impact, instead of two hands, a single device should reliably stitch up with task‐specific motion (Stringer et al , 2001).…”

Section: The Surgical Tasksmentioning

confidence: 99%

A family of co‐robotic surgical set‐ups

Cepolina¹,

Michelini²

2003

Industrial Robot: An International Journal

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The paper describes co‐robotic devices, aiming at accomplishing surgical operations by remote overseeing and manipulation. The concept design of a modular layout is presented, assuring body penetration by curved and twisted paths, with minimal impact. The fixture develops as an articulated snake‐like forearm, carrying a wrist and the pertinent effectors; scalpels, scissors, sewing rigs, cameras, etc. The fixture is a good example of a micro electro mechanical system, with force‐actuation and shape‐control being intrinsic properties. Different options are studied and the related basic operational characteristics are summarised and compared. The jointed forearm might include one to six blocks. Specifically, task‐oriented end‐effectors are considered, e.g. a self‐operating sewing rig, able to operate with a single thread. The robot co‐operation will drastically modify surgery practice, giving freedom from anthropocentric bounds; the paper introduces such opportunities, with comments on typical control strategies and hints on actual performance, inferred by testing on virtual reality and digital mock‐ups.

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Laparoscopic Myomectomy after Failure of Uterine Artery Embolization

Cited by 8 publications

References 19 publications

Uterine Artery Embolization: State of the Art

Uterine Artery Embolization: State of the Art

Embolisation of uterine arteries or laparascopic uterine artery ligation as possible treatment of uterine leiomyoma

A family of co‐robotic surgical set‐ups

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