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Laparoscopic management of large myomas.

Sinha R, Sundaram M - J Gynecol Endosc Surg (2009)

Bottom Line: The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically.We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same.Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding.

View Article: PubMed Central - PubMed

Affiliation: Consultant endoscopic surgeons, Beams hospitals, Mumbai, India.

ABSTRACT
The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically. We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same. Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding. This comprehensive review describes all possibilities of laparoscopic myomectomy irrespective of size, site and number.

No MeSH data available.


Related in: MedlinePlus

Placement of adhesion barrier
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Figure 0020: Placement of adhesion barrier

Mentions: Prospective, randomized controlled studies have evaluated the efficacy of adhesion barriers during laparoscopic myomectomy and found them to be beneficial. The adhesion barrier commonly used is the oxidized regenerated cellulose [Figure 20]. This is placed to cover all incisions and suture material with a 1-cm margin. In a prospective randomized study by Mais et al, during second look laparoscopy, 60% of the adhesion barrier group was free of adhesions compared to 12% adhesion free in the control group.[25] Other barriers that possibly reduce adhesions include hyaluronic acid gel and spray gel (synthetic absorbable adhesion barrier).


Laparoscopic management of large myomas.

Sinha R, Sundaram M - J Gynecol Endosc Surg (2009)

Placement of adhesion barrier
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3304276&req=5

Figure 0020: Placement of adhesion barrier
Mentions: Prospective, randomized controlled studies have evaluated the efficacy of adhesion barriers during laparoscopic myomectomy and found them to be beneficial. The adhesion barrier commonly used is the oxidized regenerated cellulose [Figure 20]. This is placed to cover all incisions and suture material with a 1-cm margin. In a prospective randomized study by Mais et al, during second look laparoscopy, 60% of the adhesion barrier group was free of adhesions compared to 12% adhesion free in the control group.[25] Other barriers that possibly reduce adhesions include hyaluronic acid gel and spray gel (synthetic absorbable adhesion barrier).

Bottom Line: The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically.We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same.Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding.

View Article: PubMed Central - PubMed

Affiliation: Consultant endoscopic surgeons, Beams hospitals, Mumbai, India.

ABSTRACT
The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically. We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same. Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding. This comprehensive review describes all possibilities of laparoscopic myomectomy irrespective of size, site and number.

No MeSH data available.


Related in: MedlinePlus