The Impact of Noncavity-Distorting Intramural Fibroids on Live Birth Rate in <i>In Vitro</i> Fertilization Cycles: A Systematic Review and Meta-Analysis

Rikhraj, Kiran; Tan, Justin; Taşkın, Ömür; Albert, Arianne; Yong, Paul J.

doi:10.1089/jwh.2019.7813

Cited by 30 publications

(27 citation statements)

References 36 publications

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“…Those intramural fibroids that do not affect the cavity, the size of the same is still a point of debate, it is generally taken as a cut-off point for myomectomy those intrmaural fibroids that do not affect the cavity but are greater than or equal to 4 cm [5,6]. As occurred in our group of patients, all intramural fibroids were at least 4 or more centimeters tall.…”

Section: Fundamental Principles To Considermentioning

confidence: 57%

Robotic Myomectomy: Until Achieving Reproductive Success, Step by Step

López¹

2021

Latest Developments in Medical Robotics Systems

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Surgeons who practice robotic surgery in benign gynecological conditions agree that in some cases, blood loss and transfusions are reduced, the time of hospital stay and of reintegration to daily activities is less, although commonly in the first cases of each surgeon surgical time may be longer than laparoscopic surgery depending on the learning curve of each. As in any other surgical technique, it is important that the surgeon is trained and certified in accordance with the guidelines that each hospital institution indicates for the practice of robotic surgery and is constantly updated through the tools provided by robotic surgery to ensure the correct use of this technology and always maintain the skill looking for the safety of the patient at all times. Uterine fibroids, are the most common benign tumors that appear in women of reproductive age. Depending on their location, number and size, the symptoms they produce vary in frequency and severity. Robotic myomectomy has shown that with a surgical team that operates frequently, it is superior to conventional laparoscopic myomectomy, even in the area of cost/benefit. Robotic myomectomy is an accessible, efficient and flattering pathway for patients with fibroids who want a pregnancy.

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Section: Fundamental Principles To Considermentioning

confidence: 57%

Robotic Myomectomy: Until Achieving Reproductive Success, Step by Step

López¹

2021

Latest Developments in Medical Robotics Systems

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“…3,4 Sobre aquellos miomas intramurales que no afectan a la cavidad, su tamaño sigue siendo punto de debate, por lo general, se toma como punto de corte para miomectomía aquellos miomas intramurales que no afectan a la cavidad pero que son mayores o igual a 4 cm. 5,6 Como ocurrió en el citado grupo de pacientes, todos los miomas intramurales medían al menos 4 o más centímetros. En estos casos, la vía de elección para el abordaje quirúrgico es de preferencia la cirugía de mínimo acceso.…”

Section: Discussionunclassified

Miomectomía laparoscópica asistida por robot, cirugía laparoscópica y laparotomía: Análisis de resultados

Padilla¹,

Mondragon²,

Salomón³

et al. 2020

Revista Mexicana De Cirugía Endoscópica

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Los leiomiomas son el tumor pélvico más común en la mujer, éstos pueden afectar la fertilidad. La miomectomía es el tratamiento de elección en pacientes con leiomiomas sintomáticos y fines reproductivos. Se pueden realizar mediante distintas técnicas, como laparotomía, laparoscópica o asistida por robot. Múltiples estudios pretenden determinar si alguno de estos abordajes resulta superior a otro. Con este estudio se busca obtener información para elegir la mejor vía de abordaje en cada paciente. Objetivo: Describir y comparar tres tipos de abordaje para la realización de miomectomía: Asistida robóticamente, laparoscópica, laparotomía. Determinar si existe superioridad entre los tres diferentes abordajes para miomectomía. Material y métodos: Estudio retrospectivo, analítico y observaciones donde se revisaron 150 casos de miomectomías en sus distintos abordajes realizados en

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“…Anatomical Disorders RIF may be attributed to anatomical disorders that distort the endometrial cavity, being undiagnosed before IVF treatment. In that context, fibroids have been reported as negative prognosticators to IVF success (Wang et al, 2018;Rikhraj et al, 2020), altering endometrial receptivity by modifying HOXA10 and LIF expression (Makker et al, 2017;Kara et al, 2019;Pier et al, 2020). Endometrial adhesions as a result of infection or prior surgical procedure may also be considered to be associated with thin endometrium and low receptivity potential (Wang et al, 2020).…”

Section: The Endometrial Pathophysiology Of Rif: Well-established Rifmentioning

confidence: 99%

Approaches to Improve Endometrial Receptivity in Case of Repeated Implantation Failures

Makrigiannakis

Makrygiannakis

Vrekoussis

2021

Front. Cell Dev. Biol.

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Repeated implantation failures are a constant challenge in reproductive medicine with a significant impact both on health providers and on infertile couples. Several approaches have been proposed so far as effective; however, accumulative data have clarified that most of the treatment options do not have the evidence base for a generalized application to be suggested by the relevant societies. Implantation failures are attributed to either poor quality embryos or to defected endometrial receptivity. The current review aims to summarize in a systematic way all the new trends in managing RIF via interference with endometrial receptivity. The authors focus mainly, but not exclusively, on endometrial injury prior to embryo transfer and endometrial priming with autologous cells or biological agents. To this direction, a systematic search of the Pubmed database has been conducted taking into account the emerged evidence of the last two decades. All the suggested interventions are herein presented and analyzed in terms of reproductive outcomes. It is evident that properly powered and designed randomized trials are needed to support a new standard approach in RIF treatment that will safely be incorporated in national and international guidelines.

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The Impact of Noncavity-Distorting Intramural Fibroids on Live Birth Rate in In Vitro Fertilization Cycles: A Systematic Review and Meta-Analysis

Cited by 30 publications

References 36 publications

Robotic Myomectomy: Until Achieving Reproductive Success, Step by Step

Robotic Myomectomy: Until Achieving Reproductive Success, Step by Step

Miomectomía laparoscópica asistida por robot, cirugía laparoscópica y laparotomía: Análisis de resultados

Approaches to Improve Endometrial Receptivity in Case of Repeated Implantation Failures

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