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Prevention and Management of Complications in Laparoscopic Myomectomy
Joint Authors
De Wilde, R. L.
Tanos, V.
Berry, K. E.
Frist, M.
Campo, R.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-05
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain.
It should cause minimal damage to the endometrium, while being tolerable and durable, and reduce the incidence of myoma recurrence and complications including bleeding, hematoma, adhesions, and gravid uterus perforation.
Training and experience are crucial to reduce complications.
The surgical strategy depends on imaging information on the myomas.
The position of the optical and secondary ports will determine the degree of ergonomic surgery performance, time and difficulty of myoma enucleation, and the suturing quality.
Appropriate hysterotomy length relative to myoma size can decrease bleeding, coagulation, and suturing times.
Bipolar coagulation of large vessels, while avoiding carbonization and myometrium gaps after suturing, may decrease the risk of myometrial hematoma.
Quality surgery and the use of antiadhesive barriers may reduce the risk of postoperative adhesions.
Slow rotation of the beveled morcellator and good control of the bag could reduce de novo myoma and endometriosis.
Low intra-abdominal CO2 pressure may reduce the risk of benign and malignant cell dissemination.
The benefits a patient gains from laparoscopic myomectomy are greater than the complication risks of laparoscopic morcellation.
Recent publications on laparoscopic myomectomies demonstrate reduced hospitalization stays, postoperative pain, blood loss, and recovery compared to open surgery.
American Psychological Association (APA)
Tanos, V.& Berry, K. E.& Frist, M.& Campo, R.& De Wilde, R. L.. 2018. Prevention and Management of Complications in Laparoscopic Myomectomy. BioMed Research International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129009
Modern Language Association (MLA)
Tanos, V.…[et al.]. Prevention and Management of Complications in Laparoscopic Myomectomy. BioMed Research International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1129009
American Medical Association (AMA)
Tanos, V.& Berry, K. E.& Frist, M.& Campo, R.& De Wilde, R. L.. Prevention and Management of Complications in Laparoscopic Myomectomy. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129009
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129009