[Surgical treatment of uterine myoma (conservative myomectomy)].

Abstract

As many as 56 patients with uterine myoma underwent conservative myomectomy. In 40 patients (group I), it was performed by laparotomy and in 16 (group II) ++trans-cervically under the control of hysteroscopy. The group I patients' age amounted on the average to 33.2 +/- 0.6 years, in group II, it was 46.3 +/- 0.8 years. Before operation the size of the uterus ranged from 6 to 32 weeks of pregnancy. Uterine incisions were made with regard to the site of myomatous nodes and the architectonics of the myometrium and vessels. To additionally strengthen++ sutures on the uterus, use was made of containing which provided for more favourable conditions for the formation of the scar on the uterus. Every second patient of the reproductive age manifested menstrual function improvement and 4 women conceived. The data obtained point out that the carrying out of conservative myomectomy is desirable in different age groups. The choice of the surgical technique is dependent on the primary site of myomatous nodes, their dimensions, the patient's age and concomitant extragenital pathology.