von Luz Angela Torres-de la Roche ; Markus Wallwiener ; Sven Becker ; Anja Herrmann ; Angelika Larbig ; Lasse Leicher ; Attilio Di Spiezio Sardo ; Vasilis Tanos ; Hugo Verhoeven ; Rudy Leon de Wilde
von Cristina Cezar ; Sven Becker ; Attilio Di Spiezio Sardo ; Anja Herrmann ; Angelika Larbig ; Vasilis Tanos ; Luz Angela Torres-de la Roche ; Hugo Christian Verhoeven ; Markus Wallwiener ; Rudy Leon de Wilde
PurposeUterine myomas are the main cause of benign uterine diseases in premenopausal women. Objective of the present paper is to investigate the current best treatment modalities of myomas, depending on age of the patient and her desire to preserve fertility, as well as on clinical presentation of this pathology, such as size, number, and location of fibroids and, furthermore, on surgical experience of the gynecologist.MethodsThe design of our work is a systematic literature review of existing studies, reviews, and meta-analysis conducted in PubMed and Cochrane Library to identify relevant literature. Commonly, the myomectomy is to be recommended in women desiring to preserve fertility when myomas are associated with symptoms such as excessive bleeding, pelvic discomfort, or palpable abdominally fibroids.SummaryThe decision of surgical approach for myomectomy should be individualized, depending on size and location, as well as on surgeon’s experience. The different modalities of myomectomy, laparoscopic, hysteroscopic, robotic-assisted, or laparotomic are in detail presented in the paper, according to Society of Obstetricians and Gynecologists of Canada (SOGC) clinical practice guidelines and taking into consideration possible concerns of myomectomy such as uterine rupture, development of adhesions, and myomas’ recurrence.
Archives of gynecology and obstetrics Berlin : Springer, 1870 296(2017), 4, Seite 709-720 Online-Ressource
von Felix Neis ; Sara Brucker ; Melanie Henes ; Florin-Andrei Ţăran ; Sascha Hoffmann ; Markus Wallwiener ; Birgitt Schönfisch ; Nicole Ziegler ; Angelika Larbig ; Rudy Leon de Wilde
von Luz Angela Torres-de la Roche ; Rajesh Devassy ; Sreelatha Gopalakrishnan ; Maya Sophie de Wilde ; Anja Herrmann ; Angelika Larbig ; Rudy Leon de Wilde
Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften GMS german medical science Berlin : German Medical Science (GMS) gGmbH, 2003 Bd. 5 (2016), insges. 5 S. Online-Ressource
von Cristina Cezar ; Garri Tchartchian ; Matthias Korell ; Nicole Ziegler ; Kazuhisa Senshu ; Maya Sophie de Wilde ; Anja Herrmann ; Angelika Larbig ; Rudy Leon de Wilde