8 Endoscopic treatment of uterine fibroids

MBBS, FRCS(Eng), FRACOG, CREI Carl Wood (Professor), MBBS, FRACOG, FRCOG Peter Maher (Associate Professor)
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引用次数: 9

Abstract

Endoscopic surgery is able to replace most abdominal operations in the surgical treatment of uterine leiomyomas. The use of gonadotrophin hormone-releasing hormone analogues, arterial embolization, hysteroscopy, new techniques of morcellation, laparo-vaginal gasless laparoscopy and laparoscopic mini-laparotomy have enabled the avoidance of laparotomy incisions in most patients. The previous disadvantages of laparoscopy, namely a prolonged operating time, excessive bleeding and inadequate closure, have been overcome. Case and controlled studies have demonstrated the effectiveness of endoscopy in fibroid treatment. The surgical techniques require advanced endoscopic training.

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子宫肌瘤的内镜治疗
在子宫平滑肌瘤的手术治疗中,内窥镜手术能够取代大多数腹部手术。促性腺激素释放激素类似物、动脉栓塞、宫腔镜、分块新技术、腹腔镜-阴道无气腹腔镜和腹腔镜小剖腹术的使用使大多数患者避免了剖腹切口。以往腹腔镜手术的缺点,即手术时间长,出血过多和闭合不充分,已被克服。病例和对照研究证明了内窥镜治疗肌瘤的有效性。手术技术需要高级内窥镜训练。
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Prolapse. Vaginal hysterectomy. Contributors to this issue Preface 3 Adverse effects of luteinizing hormone on fertility: fact or fantasy
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