Endoscopic myomectomy. Laparoscopy and hysteroscopy.

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Uterine Fibroids Treatment

Background:

• Uterine myomas (fibroids) are common benign tumors affecting women of reproductive age.
• Surgical management options for uterine myomas include laparoscopy, laparotomy, and hysteroscopy.
• The choice of surgical approach depends on various factors, including fibroid type, size, and location.

Purpose of the Study:

• To compare the roles of laparoscopy and laparotomy in the surgical management of uterine myomas.
• To highlight the importance of surgical expertise in laparoscopic myomectomy.
• To establish hysteroscopic myomectomy as the preferred treatment for submucous myomas.

Main Methods:

• Review of surgical techniques for uterine myoma management.
• Analysis of outcomes based on surgical approach (laparoscopy vs. laparotomy).
• Evaluation of specific indications for hysteroscopic myomectomy.

Main Results:

• Both laparoscopic and open (laparotomy) surgical approaches have a role in uterine myoma treatment.
• Successful laparoscopic myomectomy is contingent upon the surgeon's proficiency in laparoscopic suturing techniques.
• Hysteroscopic myomectomy is identified as the optimal treatment strategy for women presenting with submucous uterine fibroids.

Conclusions:

• The selection between laparoscopy and laparotomy for uterine myoma surgery should be individualized.
• Advanced laparoscopic suturing skills are essential for achieving favorable outcomes with laparoscopic myomectomy.
• Hysteroscopic myomectomy offers the best therapeutic results for submucous fibroids, minimizing invasiveness and maximizing efficacy.