Endoscopic treatment of uterine fibroids

被引:6
作者
Wood, C [1 ]
Maher, P [1 ]
机构
[1] Mercy Hosp Women, Melbourne, Vic 3002, Australia
来源
BAILLIERES CLINICAL OBSTETRICS AND GYNAECOLOGY | 1998年 / 12卷 / 02期
关键词
laparoscopy; hysteroscopy; mini-laparotomy; GnRH analogues; arterial embolization; morcellation; gasless laparoscopy; myolysis; myomectomy; hysterectomy;
D O I
10.1016/S0950-3552(98)80065-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Endoscopic surgery is able to replace most abdominal operations in the surgical treatment of uterine leiomyomas. The use of gonadotrophin hormone-releasing hormone analogues, arterial embolization, hysteroscopy, new techniques of morcellation, laparo-vaginal gasless laparoscopy and laparoscopic mini-laparotomy have enabled the avoidance of laparotomy incisions in most patients. The previous disadvantages of laparoscopy, namely a prolonged operating time, excessive bleeding and inadequate closure, have been overcome. Case and controlled studies have demonstrated the effectiveness of endoscopy in fibroid treatment. The surgical techniques require advanced endoscopic training.
引用
收藏
页码:289 / 316
页数:28
相关论文
共 67 条
  • [1] [Anonymous], GYNECOLOGICAL ENDOSC
  • [2] BARISIC D, 1996, GYNAECOL ENDOSC, V5, P323
  • [3] Broadbent JA, 1994, GYNAECOL ENDOSC, V4, P41
  • [4] BROOKS PG, 1995, J REPROD MED, V40, P791
  • [5] Adhesion formation after laparoscopic myomectomy
    Bulletti, C
    Polli, V
    Negrini, V
    Giacomucci, E
    Flamigni, C
    [J]. JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 1996, 3 (04): : 533 - 536
  • [6] BUTTRAM VC, 1981, FERTIL STERIL, V36, P433
  • [7] CARTER JE, 1994, GYNAECOLOGICAL ENDOS, V3, P25
  • [8] LAPAROSCOPIC TREATMENT OF CLINICALLY SIGNIFICANT SYMPTOMATIC UTERINE FIBROIDS
    DANIELL, JF
    GURLEY, LD
    [J]. JOURNAL OF GYNECOLOGIC SURGERY, 1991, 7 (01) : 37 - 40
  • [9] DERMAN SG, 1991, OBSTET GYNECOL, V77, P593
  • [10] DIAMOND MP, 1991, FERTIL STERIL, V55, P700