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[Ultrasound-guided laparoscopic ischemia of uterine leiomyomas]
1miroslav.brestak@gennet.cz
Objective:
Implementation of minimally invasive selective ischemization of uterine leiomyomas at fertile age women.
Design:
Pilot study.
Settings:
Gynecological institute GynCentrum, Prague.
Subject And Methods:
Ultrasound guided laparoscopic electro-coagulation of myoma's vascular stalk was carried out at consecutive 48 women during June 2000-June 2002.
Results:
Significant reduction of the original size of the leiomyoma was achieved at 98% of women during 3 months after the surgery. No surgery complications were observed as well as any obstetrical complications at five patients getting pregnant after the procedure.
Conclusion:
In addition to good therapeutic effect this minimally invasive technique brings more rapid recovery, smaller visible incisions and reduced complication, particularly during consequent pregnancy.