The need for further surgical intervention following primary hysteroscopic morcellation of submucosal leiomyomas in women with abnormal uterine bleeding.
In: Australian & New Zealand Journal of Obstetrics & Gynaecology, Jg. 58 (2018-10-01), Heft 5, S. 570-575
Online
academicJournal
Zugriff:
Background: Intrauterine hysteroscopic morcellators have been studied as an alternative method for removing submucosal leiomyomas. Aims: To assess the long‐term efficacy of hysteroscopic morcellation of submucosal leiomyomas in women with abnormal uterine bleeding (AUB). Materials and Methods: We conducted a prospective cohort study including all women with AUB who underwent a hysteroscopic resection with mechanical morcellation of a benign submucosal leiomyoma confirmed at histopathology. Need for further surgery, patient satisfaction, symptom resolution and post‐operative complications were documented by direct patient contact after a minimum of six months of follow‐up. Results: A total of 73 women were included in the study with a mean length of follow‐up of 32 ± 13 months. Mean total size of pathology at the time of index surgery was of 42 ± 20 mm. A total of 9/73 (12%) women required subsequent hysterectomy and 20/73 (27%) any subsequent related surgery (operative hysteroscopy, abdominal myomectomy or hysterectomy) with the estimated three‐year cumulative incidence being 30 ± 6%. Satisfaction rate of participants was 84%. In multivariate Cox proportional analyses, only a total size of pathology of 50 mm or more was found to be significantly associated with the risk of requiring further surgical procedures (hazard ratio = 2.9, P = 0.02). Conclusions: Hysteroscopic morcellation of submucosal leiomyomas is an effective method to manage women with AUB, although women with larger pathology have an increased risk of requiring subsequent surgical procedures. [ABSTRACT FROM AUTHOR]
Copyright of Australian & New Zealand Journal of Obstetrics & Gynaecology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
The need for further surgical intervention following primary hysteroscopic morcellation of submucosal leiomyomas in women with abnormal uterine bleeding.
|
---|---|
Autor/in / Beteiligte Person: | Maheux‐lacroix, Sarah ; Mennen, Jennifer ; Arnold, Amy ; Budden, Aaron ; Nesbitt‐hawes, Erin ; Won, Haryun ; Abbott, Jason |
Link: | |
Zeitschrift: | Australian & New Zealand Journal of Obstetrics & Gynaecology, Jg. 58 (2018-10-01), Heft 5, S. 570-575 |
Veröffentlichung: | 2018 |
Medientyp: | academicJournal |
ISSN: | 0004-8666 (print) |
DOI: | 10.1111/ajo.12781 |
Schlagwort: |
|
Sonstiges: |
|