It was reported in abdominal myomectomy
that up to 20% of patients need blood transfusion and up to 2% might need hysterectomy (4).
Very large, multiple or deep fibroids may require more traditional surgery, called an abdominal myomectomy
, that spares the uterus, or with a hysterectomy, a more serious operation involving removal of the entire uterus, ending a woman's menstrual periods and ability to bear children.
In a retrospective study, Advincula et al (6) found significantly decreased blood loss and a shorter hospital stay in patients who underwent robot-assisted laparoscopic myomectomy, compared with abdominal myomectomy
Levey told Senka that an abdominal myomectomy
was warranted, because medical management was not a viable option for her since she did not want hormonal treatment.
When the respondents were asked to compare their perceptions of laparoscopic myomectomy with abdominal myomectomy
, the majority indicated they believe that laparoscopic myomectomy confers a faster recovery time, less adhesion formation, and a comparable myoma recurrence rate.
The study, which she presented at the annual meeting of the American College of Obstetricians and Gynecologists, analyzed the costs and reimbursements associated with 299 women at her center who underwent abdominal hysterectomy, 105 who had abdominal myomectomy
, and 136 who had uterine fibroid embolization (UFE) for symptomatic fibroids.
Laparoscopic myomectomy differs from conventional abdominal myomectomy
in that only a few keyhole incisions are used rather than one large incision.
Millicent Comrie, a specialist in Obstetrics and Gynecology will perform the procedure known as an Abdominal Myomectomy
Another study comparing UFE with abdominal myomectomy
, total vaginal hysterectomy, or total abdominal hysterectomy found UFE had the lowest cost.
All patients were candidates for either hysterectomy, uterine artery embolization (UAE), or abdominal myomectomy
Patients were all candidates for either hysterectomy, uterine artery embolization (UAE), or abdominal myomectomy
DALLAS -- The administration of ketorolac during the first 24 hours after abdominal myomectomy
may reduce the incidence of postoperative fever, Dr.