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REVIEWS THE DESTINY OF MYOMAS
Minerva Ginecologica 2016 June;68(3):345-51
Copyright © 2016 EDIZIONI MINERVA MEDICA
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
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.