Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres

Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy: which is the optimal surgical approach?

“…The detailed procedure used in the UMLT-M group has been reported previously (10,11). In brief, a 3-cm transverse skin incision along the preoperative mark was made 1-2 cm below the pubic hair line or 1-2 cm above the pubic symphysis.…”

“…The surgical mode of access usually used in myomectomy is traditional exploratory laparotomy or its modificationmini-laparotomy (MLT) (9) or ultra-mini laparotomy (UMLT) (10,11), although recently, laparoscopy (12)(13)(14) or a combination of laparoscopy and MLT (9), vaginal surgery (15), and hysteroscopic myomectomy (16)(17)(18)(19)(20)(21) have represented valid alternatives. However, myomectomy alone provides varying degrees of symptom control and a high percentage of recurrence, not only for the tumors themselves, but also for the symptoms.…”

“…Since that time there has been rapid growth in the use of this treatment with various modifications, such as simultaneous accompaniment with myomectomy either through laparoscopy or MLT, and there has been considerable research into its outcome (22,(34)(35)(36)(37)(38)(39)(40)(41)(42). However, in our previous data we found that a combination of LUVO and myomectomy provided definite effectiveness in symptom control for these women with symptomatic uterine myomas (98.1%-100% symptom resolution depending on various kinds of evaluation variables), minimized tumor recurrence, and rendered the majority of reinterventions unnecessary (22).…”

“…However, the incision has been shortened to less than 4 cm, creating ultra-mini laparotomy (UMLT) for the performance of myomectomy (10,11,43). It has been found that the UMLT technique for myomectomy offers advantages for patients, including less pain, quicker recovery of bowel function, and a reduction in days of hospitalization without compromising the therapeutic effects, including the successful excision of leiomyomas and the resolution of symptoms, compared with MLT (10).…”

Is Embolization Equal to Hysterectomy in Treating Uterine Fibroids?

“…The reports from literature demonstrate that women can conceive and carry a pregnancy successfully to term after embolization (Berkane & Moutafoff-Borie, 2010;Carpenter & Walker, 2005;Ciraru-Vigneron & Ravina, 2001;Cook et al, 2010;D'Angelo et al, 2003;Forman et al, 1999;Homer & Saridogan, 2010;Kovacs et al, 2002;McLucas et al, 2001;Pinto Pabón et al, 2008;Pron et al, 2005;Vashisht et al, 2001;Walker & McDowell, 2006). UAE appears to be viable in young women who still want to become pregnant.…”