Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy
Background: Plastic and reconstructive uterus operations are performed in congenital uterine anomalies or benign uterine conditions. Congenital uterine anomalies are relatively rare diseases with various approaches for surgical treatment. Therefore, to address the question of the usefulness of a min...
| Main Authors: | , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2012-01-01
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| Series: | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/iprs/2012-1/iprs000009.shtml |
| _version_ | 1818216400607510528 |
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| author | Hirschelmann, Anja De Wilde, Rudy Leon |
| author_facet | Hirschelmann, Anja De Wilde, Rudy Leon |
| author_sort | Hirschelmann, Anja |
| collection | DOAJ |
| description | Background: Plastic and reconstructive uterus operations are performed in congenital uterine anomalies or benign uterine conditions. Congenital uterine anomalies are relatively rare diseases with various approaches for surgical treatment. Therefore, to address the question of the usefulness of a minimally invasive approach in plastic uterus operations, the most common uterine condition which requires reconstructive surgery, namely myomectomy, is discussed.
Method: Searches were conducted in PubMed and The Cochrane Library to identify relevant literature.
Findings: Compared with myomectomy by laparotomy and minilaparotomy, laparoscopic myomectomy is associated with improved short-term outcomes. Laparoscopy is further associated with less adhesion formation. Pregnancy rates after myomectomy in symptomatic patients might be higher after laparoscopy than after laparotomy. Although uterine ruptures following laparoscopic myomectomy are described in the literature, it seems to be a rare event. Concerning the recurrence, there is evidence that rates are similar after laparoscopy and laparotomy.
Conclusion: Myomectomy by laparoscopy has several advantages over abdominal myomectomy (by conventional laparotomy and minilaparotomy) and should be the standard procedure. Despite the advantages of laparoscopy, abdominal myomectomy is still a frequently performed procedure. Lack of training in advanced laparoscopic procedures hampers the wide-spread use of laparoscopic myomectomy. Due to the advantages of laparoscopic surgery, efforts should be made to implement this procedure into daily practice. To provide the best care, physicians should offer patients the opportunity of a laparoscopic treatment of myomas. |
| first_indexed | 2024-12-12T06:51:22Z |
| format | Article |
| id | doaj.art-ac80bf96366d4d1d90b83db54057e848 |
| institution | Directory Open Access Journal |
| issn | 2193-8091 |
| language | deu |
| last_indexed | 2024-12-12T06:51:22Z |
| publishDate | 2012-01-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| spelling | doaj.art-ac80bf96366d4d1d90b83db54057e8482022-12-22T00:34:03ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912012-01-011Doc0910.3205/iprs000009Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomyHirschelmann, Anja0De Wilde, Rudy Leon1Pius-Hospital Oldenburg, Klinik für Frauenheilkunde, Geburtshilfe und Gynäkologische Onkologie, Oldenburg, Germany Pius-Hospital Oldenburg, Klinik für Frauenheilkunde, Geburtshilfe und Gynäkologische Onkologie, Oldenburg, Germany Background: Plastic and reconstructive uterus operations are performed in congenital uterine anomalies or benign uterine conditions. Congenital uterine anomalies are relatively rare diseases with various approaches for surgical treatment. Therefore, to address the question of the usefulness of a minimally invasive approach in plastic uterus operations, the most common uterine condition which requires reconstructive surgery, namely myomectomy, is discussed. Method: Searches were conducted in PubMed and The Cochrane Library to identify relevant literature. Findings: Compared with myomectomy by laparotomy and minilaparotomy, laparoscopic myomectomy is associated with improved short-term outcomes. Laparoscopy is further associated with less adhesion formation. Pregnancy rates after myomectomy in symptomatic patients might be higher after laparoscopy than after laparotomy. Although uterine ruptures following laparoscopic myomectomy are described in the literature, it seems to be a rare event. Concerning the recurrence, there is evidence that rates are similar after laparoscopy and laparotomy. Conclusion: Myomectomy by laparoscopy has several advantages over abdominal myomectomy (by conventional laparotomy and minilaparotomy) and should be the standard procedure. Despite the advantages of laparoscopy, abdominal myomectomy is still a frequently performed procedure. Lack of training in advanced laparoscopic procedures hampers the wide-spread use of laparoscopic myomectomy. Due to the advantages of laparoscopic surgery, efforts should be made to implement this procedure into daily practice. To provide the best care, physicians should offer patients the opportunity of a laparoscopic treatment of myomas.http://www.egms.de/static/en/journals/iprs/2012-1/iprs000009.shtmlminimally invasive surgerymyomectomyplastic and reconstructive surgeryinfertilityuterine rupture |
| spellingShingle | Hirschelmann, Anja De Wilde, Rudy Leon Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW minimally invasive surgery myomectomy plastic and reconstructive surgery infertility uterine rupture |
| title | Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy |
| title_full | Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy |
| title_fullStr | Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy |
| title_full_unstemmed | Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy |
| title_short | Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy |
| title_sort | plastic and reconstructive uterus operations by minimally invasive surgery a review on myomectomy |
| topic | minimally invasive surgery myomectomy plastic and reconstructive surgery infertility uterine rupture |
| url | http://www.egms.de/static/en/journals/iprs/2012-1/iprs000009.shtml |
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