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REVIEWS  THE DESTINY OF MYOMAS


Minerva Ginecologica 2016 Giugno;68(3):345-51

lingua: Inglese

Laparoscopic myomectomy

Jean B. DUBUISSON 1, Tara O’LEARY 2, Anis Feki 2, Jean BOUQUET DE JOLINIÈRE 2, Jean DUBUISSON 3

1 Université de Genève, Geneva, Switzerland; 2 Service de Gynécologie-Obstétrique, Hôpital de Fribourg, Fribourg, Switzerland; 3 Clinique de Gynécologie et Obstétrique, Hôpitaux Universitaires de Genève, Geneva, Switzerland


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The gold standard access for myomectomy is laparoscopy in selected cases, including intramural and sub-serous symptomatic leiomyomas. The main contraindications concern inexperience of the surgeon, severe necrobiosis, suspected leiomyosarcoma and excessive size. The tips and tricks of the laparoscopic technique are described, specially enucleation, myometrium suture and prevention adhesions.

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dubuissonjeanbernard@hotmail.com