Fibroma surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

Benign fibromas can be removed or left alone. A physician should examine the fibroma and determine whether it may be malignant. If there is any question as to whether it may be cancer-related, it should be removed. This is usually a brief outpatient procedure.

Uterine fibroma

Hysterectomy

  • The standard treatment for uterine fibroids include uterus resection (hysterectomy) either transabdominal or transvaginal and sometimes even resection of the ovaries.[1][2]
  • For young women who wish to preserve their fertility, hysterectomy is not a desirable therapeutical option.
  • Furthermore it has lots of risks and complications like:
    • Postoperative bleeding
    • Hectic syndrome
    • Low sexual desire
    • Depression
    • High risk of cardiovascular illness

Segmentary myomectomy

  • It is a conservative surgical procedure that consists of resecting the tumor, with the preservation of uterus and, therefore the reproductive function.
  • It is also associated with increased blood loss, pain and prolonged operative time.

References

  1. Goldman, Kara N.; Hirshfeld-Cytron, Jennifer E.; Pavone, Mary-Ellen; Thomas, Andrew P.; Vogelzang, Robert L.; Milad, Magdy P. (2012). "Uterine artery embolization immediately preceding laparoscopic myomectomy". International Journal of Gynecology & Obstetrics. 116 (2): 105–108. doi:10.1016/j.ijgo.2011.08.022. ISSN 0020-7292.
  2. Corina Grigoriu, Mihai Dumitrascu, Mirela Grigoras, Irina Horhoianu, V. Horhoianu, R. Nechifor, B. Dorobat, Alina Pavel & G. Lana (2008). "Combined endovascular and surgical therapy of uterine fibroma". Journal of medicine and life. 1 (1): 60–65. PMID 20108481. Unknown parameter |month= ignored (help)

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