Myomectomy

Brown, Angela; Chamberlain, Richard R.; Linde, R.

doi:10.1016/0002-9378(56)90570-1

Cited by 67 publications

(22 citation statements)

References 5 publications

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“…Published studies show marked differences in the probability of recurrence after myomectomy (Table 3). Early reports generally showed rates around 5 to 10% (Berkeley et al 1983; Bonney 1931; Brown et al 1956; Conseller & Bedard 1938) but, more recently, recurrence rates of 25–35% have been observed (Finn & Muller 1950; Loeffler & Noble 1970; Malone 1969), in agreement with the results of our research. These differences can be at least partly explained by the criteria for diagnosis of recurrence (ultrasonography is more sensitive than clinical assessment) and by deficiencies in long‐term follow‐up.…”

Section: Discussionsupporting

confidence: 93%

Risk of recurrence after myomectomy

Candiani

Fedele

Parazzini

et al. 1991

BJOG

140

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Summary. The risk of recurrence of uterine myomas was analyzed in 622 patients who underwent myomectomy between 1970 and 1984 at the First Department of Obstetrics and Gynecology of the University of Milan. The cumulative 10‐year recurrence rate was 27%, and this increased steadily up to the end of the observation period. Differences were not observed in frequency of recurrence by age at diagnoses or by the site of the myomas at surgery. Patients with a single myoma tended to experience a lower rate, but this finding was not statistically significant. Women who gave birth to a child after myomectomy had a 10‐year recurrence rate of 15%, against 30% for those who did not; this difference was statistically significant.

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Section: Discussionsupporting

confidence: 93%

Risk of recurrence after myomectomy

Candiani

Fedele

Parazzini

et al. 1991

BJOG

140

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“…Age Studies show conflicting results, with one study showing an increased risk (107) of new appearance with increasing age and another showing decreased risk (114). Given that the incidence of myomas increases with increasing age, 4.3 per 1,000 woman-years for 25-to 29-year-olds and 22.5 per 1,000 woman-years for 40-to 44-year-olds, new myomas would be expected to form as age increases, even after myomectomy.…”

Section: Prognostic Factors Related To New Appearance Of Myomasmentioning

confidence: 99%

Uterine myomas: management

Parker¹

2007

Fertility and Sterility

200

128

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“…Another study reported low recurrence rates when women underwent the index surgery when younger than 35.5 years [9]. By contrast, the risk of recurrence decreased in patients operated after the age of 35 years in another study [10]. However, some studies have found no relationship between age and leiomyoma recurrence [3,6].…”

Section: Discussionmentioning

confidence: 97%