Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option
The most common benign pelvic tumor in young women is uterine leiomyoma. It is often asymptomatic, but can cause symptoms such as pelvic-abdominal pain, vaginal bleeding, urinary and intestinal transit disorders. If there is a suspicion of malignancy, it is necessary to perform fractional uterine cu...
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doaj-45ae6b9b8c8c4ae7a38c75643785a0bb2021-05-12T07:44:42ZengDigital ProScholar MediaJournal of Clinical and Investigative Surgery2559-55552021-05-01611510.25083/2559.5555/6.1.1Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical optionAnca Daniela Stanescu0Mihai George Loghin1Liana Ples2Daniela Gabriela Balan3Ioana Paunica4Oana Denisa Balalau5CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIABUCUR MATERNITY, ST. JOHN CLINICAL EMERGENCY HOSPITAL, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIAThe most common benign pelvic tumor in young women is uterine leiomyoma. It is often asymptomatic, but can cause symptoms such as pelvic-abdominal pain, vaginal bleeding, urinary and intestinal transit disorders. If there is a suspicion of malignancy, it is necessary to perform fractional uterine curettage to establish the histopathological diagnosis. The surgical treatment of uterine leiomyoma includes several procedures: myomectomy, subtotal or total hysterectomy. The procedure will be chosen depending on the patient's particularities: BMI, uterine size, leiomyoma location, surgical history or other associated pathologies. Laparoscopic hysterectomy has a 45-minute shorter duration of intervention than vaginal hysterectomy, and the conversion rate to the open procedure is lower. Laparoscopically treated cases have fewer postoperative complications compared to other surgical procedures and have a shorter hospitalization and recovery time. The recurrence rate of uterine leiomyoma is similar for both laparoscopic and open abdominal approach, and the frequency of long-term complications such as adhesion syndrome or pelvic pain is higher after the latter.https://www.e-repository.org/jcis/6/1/1.pdfuterineleiomyomasurgeryhysterectomymyomectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anca Daniela Stanescu Mihai George Loghin Liana Ples Daniela Gabriela Balan Ioana Paunica Oana Denisa Balalau |
spellingShingle |
Anca Daniela Stanescu Mihai George Loghin Liana Ples Daniela Gabriela Balan Ioana Paunica Oana Denisa Balalau Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option Journal of Clinical and Investigative Surgery uterine leiomyoma surgery hysterectomy myomectomy |
author_facet |
Anca Daniela Stanescu Mihai George Loghin Liana Ples Daniela Gabriela Balan Ioana Paunica Oana Denisa Balalau |
author_sort |
Anca Daniela Stanescu |
title |
Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
title_short |
Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
title_full |
Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
title_fullStr |
Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
title_full_unstemmed |
Therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
title_sort |
therapeutic approach of uterine leiomyoma; choosing the most appropriate surgical option |
publisher |
Digital ProScholar Media |
series |
Journal of Clinical and Investigative Surgery |
issn |
2559-5555 |
publishDate |
2021-05-01 |
description |
The most common benign pelvic tumor in young women is uterine leiomyoma. It is often asymptomatic, but can cause symptoms such as pelvic-abdominal pain, vaginal bleeding, urinary and intestinal transit disorders. If there is a suspicion of malignancy, it is necessary to perform fractional uterine curettage to establish the histopathological diagnosis. The surgical treatment of uterine leiomyoma includes several procedures: myomectomy, subtotal or total hysterectomy. The procedure will be chosen depending on the patient's particularities: BMI, uterine size, leiomyoma location, surgical history or other associated pathologies. Laparoscopic hysterectomy has a 45-minute shorter duration of intervention than vaginal hysterectomy, and the conversion rate to the open procedure is lower. Laparoscopically treated cases have fewer postoperative complications compared to other surgical procedures and have a shorter hospitalization and recovery time. The recurrence rate of uterine leiomyoma is similar for both laparoscopic and open abdominal approach, and the frequency of long-term complications such as adhesion syndrome or pelvic pain is higher after the latter. |
topic |
uterine leiomyoma surgery hysterectomy myomectomy |
url |
https://www.e-repository.org/jcis/6/1/1.pdf |
work_keys_str_mv |
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