Uterine Artery Occlusion for Treatment of Symptomatic Uterine Myomas

Helal, Ahmed H.; Mashaly, Abd El-Mageed; Amer, Talal

doi:10.4293/108680810x12924466007403

Cited by 19 publications

(9 citation statements)

References 13 publications

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“…After detailed evaluation of the citations, five primary articles met the inclusion criteria for the evidence synthesis. These consisted of three studies comparing UAE with LUAO (182 women) and two comparing UAE with myomectomy (284 women). Figure presents the network diagram based on these five studies.…”

Section: Resultsmentioning

confidence: 99%

Uterine‐sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta‐analysis

Panagiotopoulou

Nethra

Karavolos³

et al. 2014

Acta Obstet Gynecol Scand

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Section: Resultsmentioning

confidence: 99%

Uterine‐sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta‐analysis

Panagiotopoulou

Nethra

Karavolos³

et al. 2014

Acta Obstet Gynecol Scand

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“…The similar outcomes were reported by other documents. [ 23 24 25 ] Its well known that leiomyoma originates from unicellular growth, and the nucleus of fibroid cell can be very small, and 77%–80% patients are the cases of multi-leiomyomas. [ 26 ] Small residual myomas which could not be removed totally during myomectomy are the important cause of myomas recurrence.…”

Section: Discussionmentioning

confidence: 99%

The changes of surgical treatment for symptomatic uterine myomas in the past 15 Years

Yang

Luo

et al. 2018

Gynecol Minim Invasive Ther

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Study Objective:The aim of this study is to elaborate the changes of the surgical approach of treatment for uterine myomas in Yangpu Hospital in the past 15 years.Design:This was retrospective cohort study.Setting:Yangpu Hospital, Tongji University School of Medicine, Shanghai, China.Materials and Methods:A total of 4113 patients with symptomatic uterine myomas underwent surgical treatments. Interventions: Eight kinds of different surgeries were involved in the study, including abdominal or laparoscopic surgery, hysterectomy, or uterus-sparing myomectomy.Measurements:The study collected patients' clinical data and reviewed surgical access and approach, complications, and the results of following up.Results:A total of 1559 cases (37.9%) underwent uterus-sparing myomectomy, 3005 cases (73.1%) performed laparoscopic surgeries. The percentage of laparoscopic surgery was significantly higher than homochronous data of laparotomy after 2003 (P < 0.001). The per year total of uterus-reserved surgery was proved to be negatively correlated with patient's age (R2 = 0.930; P < 0.001). The rate of myomas recurrence was significantly lower in the combined myomectomy and uterine artery occlusion group (4%, 34/910) than in the single myomectomy group (10.5%, 44/420) (P < 0.001).Conclusions:Retaining uterus and minimally invasive surgery were the important trends of surgical treatment for symptomatic uterine myomas. Laparoscopic uterus-sparing myomectomy may be an alternative to hysterectomy to manage to appropriate patients with uterine myomas.

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“…29,30 However, randomized controlled trials comparing LUAO with UAE have demonstrated treatment failure rates ranging from 40% to 48% and no difference in symptom improvement between the 2 groups. 28,31 With regards to fertility, pregnancy can occur after LUAO but prospective data on the impact on ovarian reserve, pregnancy course, route of delivery, and risk of abnormal bleeding and placentation is lacking. It is therefore not recommended in patients who wish to maintain fertility.…”

Section: Laparoscopic Uterine Artery Embolization (Luao)mentioning

confidence: 99%

Surgical Treatment of Uterine Fibroids Within a Containment System and Without Power Morcellation

Kho

Brown

2016

Clinical Obstetrics &Amp; Gynecology

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Increased awareness regarding risks associated with intracorporeal electromechanical, or power, morcellation has urged surgeons to develop alternative methods for tissue extraction that may mitigate some of these risks during surgery. The use of containment systems during laparoscopic procedures has allowed surgeons to continue to offer and perform myomectomies that still benefit from being minimally invasive but which may minimize the risk of inadvertent tissue dispersion. Here, we will review techniques for performing contained tissue fragmentation without the use of a power morcellator.

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Uterine Artery Occlusion for Treatment of Symptomatic Uterine Myomas

Abstract: Both laparoscopic occlusion and superselective embolization of the uterine artery for symptomatic uterine leiomyomata improved clinical symptoms in the majority of patients.

Cited by 19 publications

References 13 publications

Uterine‐sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta‐analysis

Uterine‐sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta‐analysis

The changes of surgical treatment for symptomatic uterine myomas in the past 15 Years

Surgical Treatment of Uterine Fibroids Within a Containment System and Without Power Morcellation

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