MANAGEMENT OF SUBMUCOUS MYOMAS WITH LAPAROSCOPIC MYOMECTOMY
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This review evaluates the safety, efficacy, and scope of laparoscopic myomectomy as a treatment for symptomatic submucosal myomas in women desiring fertility preservation.
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Abstract
Myomas are very common problem encountered in the department of gynecology in hospital. The condition is also a big challenge for endocrinologists and for the department of infertility. The symptoms of myomas range from heavy menstrual bleeding or recurrent abortion to infertility. The human uterus comprises 3 basic layers, the endometrium, the myometrium, and the visceral peritoneum or serosa. On the basis of their relationship to the uterine wall at the time of diagnosis, myomas are referred to as submucous, intramural, or subserosal. Variety of approaches for it management are available, from pharmaceutical agents to surgical intervention. The surgical approach could be hysterectomy or myomectomy. Identification of the ideal approach requires the clinician to be intimately familiar with a given patient’s history, including her desires with respect to fertility, as well as an appropriately detailed evaluation of the uterus with any one or a combination of number of imaging techniques, including hysteroscopy. Laparoscopy is a good approach in the surgical approach of myomas as it causes less surgical time, less pain, may be less blood loss and less hospital stay after the surgery. The procedure provides an acceptable and perhaps a preferable, alternative to abdominal myomectomy for women with symptomatic fibroids who desire to preserve uterus and is an excellant alternative to those women who have infertility due to fibroids. In this review, we will evaluate the safety, efficacy and scope of laparoscopic myomectomy as treatment for submucosal myomas.
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