(62.) Kato Y, Iwase M, Takagi K, Nishizawa T, Kanazawa H, Matsushita A, Umeda H, Izawa H, Noda A, Koike Y, Nagata K, Yokota M Differential myolysis
of myocardium and skeletal muscle in hamsters with dilated cardiomyopathy: beneficial protective effect of diltiazem.
Which types of fibroids are treatable with myolysis
with resection resulted in a reduced need for hysterectomy compared with ablation alone, the best outcomes in terms of reduced need for reoperation were in those who underwent myolysis
plus endometrial ablation--with or without resection, he concluded.
Recently, however, Hasson and colleagues reported a case of possible ischemic necrosis of the small intestine following laparoscopic adhesiolysis and bipolar myolysis
. (8) The authors emphasized that C[O.sub.2] pneumoperitoneum reduces splanchnic blood flow, predisposing the patient to ischemia, but that ischemia with infarction requires an underlying vasculopathy or inciting factors such as traction on a short mesentery, atherosclerosis, or thrombosis.
Schlaff recently dismissed myolysis
as a procedure that "we ought to bury" ("Promising New Therapies for Uterine Fibroids," April 1, 2002, p.
. This procedure involves using a laser, radiofrequency energy or freezing via a probe applied during laparoscopy to cut off the blood supply to a fibroid, destroying it.
In one version of the myolysis
procedure, a bipolar needle is inserted into the fibroid, where it zaps roughly a 5-[mm.sup.3] area of tissue around the tip.
It's better than myomectomy, better than myolysis
, better than embolization.
The operating time was 106 minutes, compared with 176 minutes for laparoscopic myomectomy with hysteroscopic endometrial ablation and myomectomy with myolysis
as necessary (LMAM).
With high-power laser myolysis
, in which powers of up to 50 watts are used, the fibroids are literally destroyed, Dr.