Myomectomy: Results and Complications
Uterine fibroids are common hormone sensitive benign tumours of the uterus, with a reported incidence of up to 30–40 % in women of reproductive age with variations depending on the age group and ethnic background. Although they are asymptomatic in many cases, the presence and persistence of clinical symptoms warrants medical or surgical intervention. Myomectomy is advisable for symptomatic women who want to preserve their uterus. Myomectomy can be performed trans-abdominally, laparoscopically, vaginally or hysteroscopically. The aim of this intervention is to alleviate any menstrual symptoms and improve fertility. Whatever the route of surgery, however, myomectomy is classified as a major operation which is associated with both short- and long-term complications which, in many respects, depend on the size, location and number of fibroids. Apart from risks such as infection, bruising, deep vein thrombosis, which apply to any major surgical procedure, complications range from major intra-operative blood loss, occasionally necessitating hysterectomy, to longer term problems of post-operative adhesions and fibroid recurrence. There are also route-specific potential complications related to the type of myomectomy.
KeywordsUterine Cavity Uterine Fibroid Uterine Rupture GnRH Analogue Abnormal Uterine Bleeding
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