Book contents
- Modern Management of Uterine Fibroids
- Modern Management of Uterine Fibroids
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Pathophysiology of Uterine Fibroids
- Chapter 2 Evaluation of Uterine Fibroids Using Two-Dimensional and Three-Dimensional Ultrasonography
- Chapter 3 Ulipristal and Other Medical Interventions for Treatment of Uterine Fibroids
- Chapter 4 The Role of Magnetic Resonance Imaging in the Management of Fibroids
- Chapter 5 Fibroids and Fertility
- Chapter 6 Fibroids and Reproduction
- Chapter 7 Open Myomectomy
- Chapter 8 Laparoscopic and Robotic Myomectomy
- Chapter 9 Principles and Technique of Laparoscopic Myomectomy
- Chapter 10 Uterine Fibroids
- Chapter 11 Total Laparoscopic Hysterectomy for the Fibroid Uterus
- Chapter 12 Hysteroscopic Resection of Submucosal Fibroids
- Chapter 13 Modern Management of Intramural Myomas
- Chapter 14 Outpatient Myomectomy
- Chapter 15 Vaginal Hysterectomy with Fibroids
- Chapter 16 Leiomyosarcoma
- Chapter 17 MRI-Guided Ultrasound Lysis of Fibroids
- Chapter 18 Embolization for the Management of Uterine Fibroids
- Chapter 19 Uterine Fibroids in Postmenopausal Women
- Appendix: Video Captions
- Index
- References
Chapter 8 - Laparoscopic and Robotic Myomectomy
Practical Tips
Published online by Cambridge University Press: 10 October 2020
- Modern Management of Uterine Fibroids
- Modern Management of Uterine Fibroids
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Pathophysiology of Uterine Fibroids
- Chapter 2 Evaluation of Uterine Fibroids Using Two-Dimensional and Three-Dimensional Ultrasonography
- Chapter 3 Ulipristal and Other Medical Interventions for Treatment of Uterine Fibroids
- Chapter 4 The Role of Magnetic Resonance Imaging in the Management of Fibroids
- Chapter 5 Fibroids and Fertility
- Chapter 6 Fibroids and Reproduction
- Chapter 7 Open Myomectomy
- Chapter 8 Laparoscopic and Robotic Myomectomy
- Chapter 9 Principles and Technique of Laparoscopic Myomectomy
- Chapter 10 Uterine Fibroids
- Chapter 11 Total Laparoscopic Hysterectomy for the Fibroid Uterus
- Chapter 12 Hysteroscopic Resection of Submucosal Fibroids
- Chapter 13 Modern Management of Intramural Myomas
- Chapter 14 Outpatient Myomectomy
- Chapter 15 Vaginal Hysterectomy with Fibroids
- Chapter 16 Leiomyosarcoma
- Chapter 17 MRI-Guided Ultrasound Lysis of Fibroids
- Chapter 18 Embolization for the Management of Uterine Fibroids
- Chapter 19 Uterine Fibroids in Postmenopausal Women
- Appendix: Video Captions
- Index
- References
Summary
Uterine fibroids remain the most common cause of hysterectomy. Myomectomy is performed far less than hysterectomy despite what Victor Bonney stated in 1931: ‘Since cure without deformity or loss of function must ever be surgery’s highest ideal, the general proposition that myomectomy is a greater surgical achievement is incontestable’. In women seeking uterine conservation and improvement in reproductive outcomes, myomectomy remains the mainstay treatment of symptomatic leiomyomas. But other reasons exist: in a survey of 299 gynaecologists in the United Kingdom in 2017, 54% of respondents said that they would offer a myomectomy to a woman whose family is complete, but who wishes to retain her uterus because she feels a more ‘complete woman’ [1]. In this era where more women are delaying pregnancy till later in life, when fibroids are more symptomatic, it is imperative that surgeons embrace myomectomy and its newer techniques and alternatives.
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- Modern Management of Uterine Fibroids , pp. 65 - 77Publisher: Cambridge University PressPrint publication year: 2020