4.2 Review

Myomectomy for uterine myomas through ultramini-laparotomy

Journal

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Volume 37, Issue 5, Pages 383-392

Publisher

WILEY
DOI: 10.1111/j.1447-0756.2010.01359.x

Keywords

leiomyomas; myoma; myomectomy; ultramini-laparotomy; uterine fibroids

Funding

  1. Taipei Veterans General Hospital [V98F-009, V99F-014]
  2. Veterans General Hospitals University System of Taiwan, Taiwan [VGHUST99-G4]

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Uterine fibroids are the most common benign tumors in the female reproductive tract during the reproductive years. Among the options in the treatment spectrum, myomectomy is always considered one of the best choices in the management of women with symptomatic uterine fibroids who wish to preserve future fertility. Myomectomy through conventional exploratory laparotomy may be the most familiar surgical approach. However, with the advances being made in techniques and instruments, there are many alternative approaches to myomectomy, including mini-laparotomy, ultramini-laparotomy, laparoscopy, laparoscopy-aided, and vaginal and hysteroscopic approaches. The focus of this review article is limited to discussing the use of the ultramini-laparotomy approach to completing myomectomy in the management of the uterine fibroids.

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