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Submucous myomas: resect or vaporize? Take your pick.(Gynecology)
SCOTTSDALE, ARIZ. -- There are not enough data to determine whether it's best to resect or vaporize submucous myomas, so physicians should use the technique with which they feel most comfortable, Dr. Richard J. Gimpelson recommended.
With either approach, always do a preoperative assessment to identify the location of the leiomyoma, he said at an international congress on uterine fibroids sponsored by the American Association of Gynecologic Laparoscopists. "I like to look at the serosa by ultrasound. If the serosa is smooth, then I know that whatever fibroids I'm going to see aren't going to be bulging all the way through the wall," said Dr. Gimpelson of St. Louis.
Consider using ultrasound or laparoscopic guidance during the surgery, especially with lateral fibroids in the lower uterine segment, he added.
If you use the resectoscope and wire loop with cutting current, watch how you push fluids into the patient, monitor fluid absorption, and know when to stop. "One who scopes and walks away can always scope another day," Dr. Gimpelson ...
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- Magazine article from: OB GYN News February 1, 2003 700+ words
...Looking for abnormal uteri, myomas, submucous myomas, myomas remote from the cavity...about the diagnosis and location of submucous myomas and focal endometrial lesions. The...sensitive and 87% specific for submucous myomas, compared with 100% sensitivity...
- Try Hysterosonography to ID Abnormal Bleeding.
- Magazine article from: OB GYN News BOSCHERT, SHERRY June 1, 2000 700+ words
...diagnosed, he said. (See pictures B below.) Large submucous myomas, however, are an exception to this rule. In three women, transvaginal ultrasound suggested large submucous myomas, while sonohysterographic findings were normal. In...
- Research from Tampere University in the area of menorrhagia published.(Report)
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...myomectomy for menorrhagia. Fifty-three women who had submucous myomas with intramural extension of less than 50% and smaller...Each of them was matched with a patient who had no submucous myomas and who had been treated by endometrial resection only...
- Ultrasound, SIS advocated for abnormal bleeding. (Expert Opinion).
- Magazine article from: OB GYN News Goldman, Erik L. July 1, 2002 700+ words
...polyps, which were removed via hysteroscopic surgery and confirmed pathologically. A total of 22 patients (5%) had submucous myomas; 9 of them were treated resectoscopically. Ten (2.3%) patients had single-layer endometrium of greater than 3...
- Wider use of office flexible hysteroscopy urged. (Only 3% of U.S. Gyns. Use It).
- Magazine article from: OB GYN News Boschert, Sherry June 1, 2003 700+ words
...Cs no longer should be performed just for evaluation, he said. Among the other methods for diagnosing and categorizing submucous myomas, hysterosalpingogram is less sensitive and less specific than office hysteroscopy The image obtained from diagnostic office...
- New research on habitual abortion from Medical School summarized.
- Magazine article from: Women's Health Weekly August 14, 2008 700+ words
...The remaining 23 women (48%) presented SUAs: nine patients (19%) had intrauterine adhesions, four (8%) had submucous myomas, two (4%) had polyps and eight (17%) had congenital structural uterine anomalies (five cases of septate uterus...
- SIS Quickly Evaluates Abnormal Uterine Bleeding.
- Magazine article from: OB GYN News CHENG, GUANG-SHING November 1, 1999 700+ words
...SIS, 61 had dysfunctional uterine bleeding, 58 had global thickening or polyps removed hysteroscopically, and 22 had submucous myomas. Ten patients had symmetrically thick endometrium and subsequently underwent Pipelle sampling; half had proliferation...
- Endometrial ablation for fibroids under study. (Off-Label Treatment).
- Magazine article from: OB GYN News Boschert, Sherry June 15, 2003 700+ words
...average follow-up of 15 months, 12 of the 22 women reported amenorrhea, and 5 reported oligomenorrhea. "HTA is a safe, effective alternative to hysterectomy, electrosurgical resection, or vaporization of submucous myomas. The amen
- Gel Puts Progesterone in HRT.(hormone replacement therapy)
- Magazine article from: Family Practice News GOLDMAN, ERIK L. November 15, 1999 700+ words
...their most recent bleeding episodes. In all cases, the endometrium measured under 5 mm, with no evidence of polyps or submucous myomas. The postmenopausal subjects, who had a mean age of 55.2 years and a range of 42-72 years, were taken off medroxyprogesterone...
Source: HighBeam Research, Submucous myomas: resect or vaporize? Take your pick.(Gynecology)