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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...

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Related Experiment Video

Updated: Jul 5, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
05:46

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

New strategies for treating myomas.

C Wood1, P Maher

  • 1Melbourne Gynoscopy Centre Department of Obstetrics and Gynaecology Monash University Melbourne Victoria Australia.

Diagnostic and Therapeutic Endoscopy
|January 1, 1996
PubMed
Summary

Minimally invasive gynecologic surgery using the Maher abdominal elevator and electrosurgery offers faster myoma removal. These techniques may help patients with infertility or nearing menopause avoid traditional myomectomy.

Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Uterine Fibroid Management

Background:

  • Uterine fibroids (myomas) are common and can cause significant symptoms.
  • Traditional myomectomy can be invasive, with potential complications and longer recovery times.
  • Minimally invasive surgical techniques are increasingly explored for fibroid treatment.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic minilaparotomy with the Maher abdominal elevator for myoma enucleation and morcellation.
  • To assess the effectiveness of electrosurgery for uterine fibroid reduction.
  • To determine the potential benefits of these techniques for specific patient populations, such as those with infertility or approaching menopause.

Main Methods:

  • Laparoscopic minilaparotomy using the Maher abdominal elevator was performed in 6 patients for myoma enucleation and morcellation.

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Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
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  • Electrosurgery was employed for myoma reduction in 12 patients, measuring changes in fibroid diameter.
  • Patient outcomes, including surgical time and fibroid size reduction, were recorded.

    • Main Results:

    • The Maher abdominal elevator facilitated quicker enucleation, morcellation, and suturing of the myoma cavity during laparoscopic minilaparotomy.
    • Electrosurgery resulted in a 60% average reduction in myoma diameter in treated patients.
    • Two patients experienced treatment failure with the electrosurgery method.

    Conclusions:

    • Laparoscopic minilaparotomy with the Maher abdominal elevator appears to expedite myomectomy procedures.
    • Electrosurgery offers a significant reduction in fibroid size and may be an alternative to myomectomy.
    • These minimally invasive approaches could be particularly beneficial for women with infertility or those in perimenopause, potentially avoiding more extensive surgery.