Pregnancy outcomes after treatment for fibromyomata: uterine artery embolization versus laparoscopic myomectomy

Goldberg, Jay; Pereira, Leonardo; Berghella, Vincenzo; Diamond, James J.; Daraı̈, Émile; Seinera, P; Seracchioli, Renato

doi:10.1016/j.ajog.2004.01.046

Cited by 187 publications

(120 citation statements)

References 5 publications

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“…16 The mean maternal age for the preterm group was 36.8 years. The preterm delivery rate is similar to the Ontario trial 9 4 of 18 (22.2%) and the Goldberg study 10 5 of 32 (16%). The laparoscopic myomectomy group in the Goldberg study had a much lower rate of preterm delivery at 3%.…”

Section: Commentsupporting

confidence: 77%

“…This demonstrates that this conservatism is not without reason. The Goldberg study 10 found rates of cesarean high in both the UAE group (63%) and the laparoscopic myomectomy group (59%). The Ontario multicenter trial 9 found cesarean rates of 50%.…”

Section: Commentmentioning

confidence: 95%

“…Pregnancy after UAE has been described in the literature in the form of case reports, and a review article, 6 some retrospective series [7][8][9] and one retrospective cohort study comparing UAE with laparoscopic myomectomy. 10 In December 1996, a prospective observational study was established to evaluate UAE in the management of symptomatic uterine fibroids. 4 Most of the cases have been carried out at the Royal Surrey County Hospital with a minority performed privately at The London Clinic.…”

mentioning

confidence: 99%

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Pregnancy after uterine artery embolization for leiomyomata: A series of 56 completed pregnancies

Walker

McDowell

2006

American Journal of Obstetrics and Gynecology

152

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Section: Commentsupporting

confidence: 77%

Section: Commentmentioning

confidence: 95%

mentioning

confidence: 99%

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Pregnancy after uterine artery embolization for leiomyomata: A series of 56 completed pregnancies

Walker

McDowell

2006

American Journal of Obstetrics and Gynecology

152

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“…O relato da evolução de nossos casos é semelhante a várias descrições de séries com gravidezes e partos em mulheres submetidas a embolização arterial [12][13][14][15][16] .…”

Section: Discussionunclassified

“…Quanto aos resultados de gestações, não se observa aumento signifi cativo nas complicações durante a gravidez, no parto e no puerpério, sendo concorde com o relato do nosso primeiro caso [12][13][14]16 . É relatada uma freqüência signifi cante de partos normais, em comparação com mulheres submetidas a miomectomia, sem aumento nas complicações, como rotura uterina 13,14 .…”

Section: Discussionunclassified

Gravidez e parto após embolização arterial para tratamento de leiomioma uterino

Bonduki

Gonçalves

Yokohama

et al. 2006

Rev. Bras. Ginecol. Obstet.

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RESUMOObjetivo: Analisar a evolução da gestação e partos após tratamento de leiomioma uterino por embolização das artérias uterinas. Métodos: Foram incluídas na avaliação inicial 112 pacientes submetidas a embolização de artérias uterinas para tratamento de mioma uterino. Destas, somente nove desejavam o tratamento conservador para manter a capacidade reprodutiva. Este procedimento foi indicado para estas nove pacientes, pois elas não eram susceptíveis ao tratamento conservador cirúrgico. Submeteram-se a embolização das artérias uterinas com partículas de álcool polivinílico ou embosferas com diâmetro de 500 a 700 µm e evoluíram sem intercorrências. Resultados: Durante o acompanhamento dessas nove pacientes houve boa resposta clínica, com redução signifi cativa no volume do útero e dos miomas. Dessas nove, quatro engravidaram, sendo que duas tiveram abortamento precoce e duas evoluíram normalmente até o fi nal da gestação com parto a termo, sendo um deles gemelar. Conclusão: A embolização de artérias uterinas é uma opção para o tratamento de miomas uterinos e apresenta bons resultados clínicos e anatômicos, permitindo manter a capacidade reprodutiva. PALAVRAS-CHAVE:Mioma; Neoplasias uterinas; Leiomioma/terapia; Embolização terapêutica/métodos; Fertilidade; Gravidez ABSTRACT Purpose: To analyze gestation evolution and deliveries after myoma treatment by embolization of the uterine arteries. Methods: In the initial evaluation, 112 patients submitted to embolization of uterine arteries were included for treatment of myoma. From those, only nine wanted to be submitted to conservative treatment in order to keep their reproductive capacity. This procedure was indicated to the nine patients, since they were not susceptible to a conservative surgical treatment. They were submitted to embolization of the uterine arteries with particles of polyvinyl alcohol or embospheres with diameters ranging from 500 to 700 µm, and they have evolved without intercurrence. Results: During the follow-up of these patients, there was a good clinical response with signifi cant reduction in the uterus and myoma volumes. Four of them got pregnant, two had an early abortion and two evolved normally till the end of gestation with a term delivery. One of these had twins. Conclusion: Embolization of the uterine arteries is an option for the treatment of uterine myoma, and presents good clinical and anatomical results, allowing patients to preserve their reproductive capacity.

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Nonsurgical Option for Fibroid Treatment

Fenlon

Spies

2013

Fibroids

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Pregnancy outcomes after treatment for fibromyomata: uterine artery embolization versus laparoscopic myomectomy

Cited by 187 publications

References 5 publications

Pregnancy after uterine artery embolization for leiomyomata: A series of 56 completed pregnancies

Pregnancy after uterine artery embolization for leiomyomata: A series of 56 completed pregnancies

Gravidez e parto após embolização arterial para tratamento de leiomioma uterino

Nonsurgical Option for Fibroid Treatment

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