Fibroma surgery: Difference between revisions

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__NOTOC__
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{{Fibroma}}
{{Fibroma}}
{{CMG}}
{{CMG}}; {{AE}} {{M.N}}
==Overview==
==Overview==
[[Benign]] fibromas can be removed or left alone. A [[physician]] should examine the fibroma and determine whether it may be [[malignant]]. If there is any question as to whether it may be [[cancer]]-related, it should be removed. This is usually a brief [[outpatient]] [[procedure]]. For most fibromas the definitive treatment is complete [[excision]].
==Surgery==
==Surgery==
Benign fibromas can be removed or left alone. A physician should examine the fibroma and determine whether it may be malignant. If there is any question as to whether it may be cancer-related, it should be removed. This is usually a brief outpatient procedure.
[[Benign]] fibromas can be removed or left alone. A [[physician]] should examine the fibroma and determine whether it may be [[malignant]]. If there is any question as to whether it may be [[cancer]]-related, it should be removed. This is usually a brief [[outpatient]] [[procedure]]. For most fibromas the definitive treatment is complete [[excision]].
 
===Uterine fibroma===
Fibroids are removed by the following procedures
====Hysterectomy====
*The [[standard]] treatment for [[uterine fibroids]] include [[Uterus|uteru]]<nowiki/>[[Uterus|s]] [[resection]] ([[Hysterectomy|hysterectomy]])<nowiki/> either transabdominal or transvaginal and sometimes even [[resection]] of the [[ovaries]].<ref name="GoldmanHirshfeld-Cytron2012">{{cite journal|last1=Goldman|first1=Kara N.|last2=Hirshfeld-Cytron|first2=Jennifer E.|last3=Pavone|first3=Mary-Ellen|last4=Thomas|first4=Andrew P.|last5=Vogelzang|first5=Robert L.|last6=Milad|first6=Magdy P.|title=Uterine artery embolization immediately preceding laparoscopic myomectomy|journal=International Journal of Gynecology & Obstetrics|volume=116|issue=2|year=2012|pages=105–108|issn=00207292|doi=10.1016/j.ijgo.2011.08.022}}</ref><ref>{{Cite journal
| author = [[Corina Grigoriu]], [[Mihai Dumitrascu]], [[Mirela Grigoras]], [[Irina Horhoianu]], [[V. Horhoianu]], [[R. Nechifor]], [[B. Dorobat]], [[Alina Pavel]] & [[G. Lana]]
| title = Combined endovascular and surgical therapy of uterine fibroma
| journal = [[Journal of medicinhttps://www.wikidoc.org/index.php?title=Fibroma_surgery&action=edite and life]]
| volume = 1
| issue = 1
| pages = 60–65
| year = 2008
| month = January-March
| pmid = 20108481
}}</ref><ref>{{Cite journal
| author = [[W. M. Ankum]] & [[J. A. Reekers]]
| title = &#91;Embolization of uterine artery: a new treatment for uterine myomas&#93;
| journal = [[Nederlands tijdschrift voor geneeskunde]]
| volume = 145
| issue = 16
| pages = 765–769
| year = 2001
| month = April
| pmid = 11346912
}}</ref><ref>{{Cite journal
| author = [[A. Hirst]], [[S. Dutton]], [[O. Wu]], [[A. Briggs]], [[C. Edwards]], [[L. Waldenmaier]], [[M. Maresh]], [[A. Nicholson]] & [[K. McPherson]]
| title = A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study
| journal = [[Health technology assessment (Winchester, England)]]
| volume = 12
| issue = 5
| pages = 1–248
| year = 2008
| month = March
| pmid = 18331704
}}</ref>
*For [[Young adult|young]] [[women]] who wish to preserve their [[fertility]], [[hysterectomy]] is not a desirable therapeutical option.
*Furthermore it has lots of [[risks]] and [[complications]] like:
**[[Postoperative haemorrhage|Postoperative bleeding]]
**Hectic [[syndrome]]
**Low [[sexual desire]]
**[[Depression]]
**High risk of [[cardiovascular]] illness
 
====Segmentary myomectomy====
*It is a conservative [[surgical]] procedure that consists of resecting the [[tumor]], with the preservation of [[uterus]] and, therefore the [[reproductive]] function.<ref>{{Cite journal
| author = [[W. M. Ankum]] & [[J. A. Reekers]]
| title = &#91;Embolization of uterine artery: a new treatment for uterine myomas&#93;
| journal = [[Nederlands tijdschrift voor geneeskunde]]
| volume = 145
| issue = 16
| pages = 765–769
| year = 2001
| month = April
| pmid = 11346912
}}</ref><ref>{{Cite journal
| author = [[Corina Grigoriu]], [[Mihai Dumitrascu]], [[Mirela Grigoras]], [[Irina Horhoianu]], [[V. Horhoianu]], [[R. Nechifor]], [[B. Dorobat]], [[Alina Pavel]] & [[G. Lana]]
| title = Combined endovascular and surgical therapy of uterine fibroma
| journal = [[Journal of medicine and life]]
| volume = 1
| issue = 1
| pages = 60–65
| year = 2008
| month = January-March
| pmid = 20108481
}}</ref>
*It is also associated with increased [[blood loss]], [[pain]] and prolonged [[operative]] time.
 
====Uterine artery embolization====
*Bilateral [[uterine artery]] [[embolisation]] is used as an alternative approach to [[surgery]].<ref name="GoldmanHirshfeld-Cytron2012" /><ref>{{Cite journal
| author = [[W. M. Ankum]] & [[J. A. Reekers]]
| title = &#91;Embolization of uterine artery: a new treatment for uterine myomas&#93;
| journal = [[Nederlands tijdschrift voor geneeskunde]]
| volume = 145
| issue = 16
| pages = 765–769
| year = 2001
| month = April
| pmid = 11346912
}}</ref><ref>{{Cite journal
| author = [[Corina Grigoriu]], [[Mihai Dumitrascu]], [[Mirela Grigoras]], [[Irina Horhoianu]], [[V. Horhoianu]], [[R. Nechifor]], [[B. Dorobat]], [[Alina Pavel]] & [[G. Lana]]
| title = Combined endovascular and surgical therapy of uterine fibroma
| journal = [[Journal of medicine and life]]
| volume = 1
| issue = 1
| pages = 60–65
| year = 2008
| month = January-March
| pmid = 20108481
}}</ref><ref>{{Cite journal
| author = [[R. W. Dover]], [[H. W. Torode]] & [[G. M. Briggs]]
| title = Uterine artery embolisation for symptomatic fibroids
| journal = [[The Medical journal of Australia]]
| volume = 172
| issue = 5
| pages = 233–236
| year = 2000
| month = March
| pmid = 10776397
}}</ref><ref>{{Cite journal
| author = [[Ozgur H. Harmanli]] & [[Meena Khandelwal]]
| title = Transvaginal uterine artery ligation in a woman with uterine leiomyomas. A case report
| journal = [[The Journal of reproductive medicine]]
| volume = 48
| issue = 5
| pages = 384–386
| year = 2003
| month = May
| pmid = 12815915
}}</ref><ref>{{Cite journal
| author = [[A. Hirst]], [[S. Dutton]], [[O. Wu]], [[A. Briggs]], [[C. Edwards]], [[L. Waldenmaier]], [[M. Maresh]], [[A. Nicholson]] & [[K. McPherson]]
| title = A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study
| journal = [[Health technology assessment (Winchester, England)]]
| volume = 12
| issue = 5
| pages = 1–248
| year = 2008
| month = March
| pmid = 18331704
}}</ref>
*[[Embolization]] of [[Uterine artery|uterine arteries]] causes lack of blood supply(devascularisation) of all fibroma structures in the [[uterus]].
*The normal uterine elements remain unaffected, while the fibroma suffers an ischemia, necrosis.
*Young [[females]] with multiple fibromas who wish to have [[children]] are the appropriate ones for [[embolization]], also [[patients]] with [[symptomatic]] uterine fibroma who refuse to have a [[hysterectomy]], [[blood transfusion]], or [[general anesthesia]].
*The [[embolization]] performed a few days before [[surgery]] has numerous advantages:
**Less [[surgery]] [[bleeding]], as a result eliminates the necessity for [[blood transfusion]]
**Reduces the duration of the [[surgery]]
**It allows [[resection]] of very large fibromas or of those inaccessible areas (the [[posterior]] side of the [[uterus]], the inferior side close to the [[cervix]])
**Eliminates the risk of [[relapse]]
 
[[File:Uterine artery embolization 1.jpg|500px|thumb|center|Grigoriu C, Dumitrascu M, Grigoras M, et al. Combined endovascular and surgical therapy of uterine fibroma. J Med Life. 2008;1(1):60–65.,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607786/]]
 
==Contraindications==
There are no [[contraindications]] for [[surgery]] of uterine fibroma
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Oncology]]
 
{{Soft tissue tumors and sarcomas}}
 


[[Category:Gynecology]]  
[[Category:Gynecology]]  
[[Category:Types of cancer]]
[[Category:Types of cancer]]
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[[Category:Oncology]]
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[[Category:Surgery]]

Latest revision as of 17:29, 18 September 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Benign fibromas can be removed or left alone. A physician should examine the fibroma and determine whether it may be malignant. If there is any question as to whether it may be cancer-related, it should be removed. This is usually a brief outpatient procedure. For most fibromas the definitive treatment is complete excision.


Surgery

Benign fibromas can be removed or left alone. A physician should examine the fibroma and determine whether it may be malignant. If there is any question as to whether it may be cancer-related, it should be removed. This is usually a brief outpatient procedure. For most fibromas the definitive treatment is complete excision.

Uterine fibroma

Fibroids are removed by the following procedures

Hysterectomy

Segmentary myomectomy

Uterine artery embolization

Grigoriu C, Dumitrascu M, Grigoras M, et al. Combined endovascular and surgical therapy of uterine fibroma. J Med Life. 2008;1(1):60–65.,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607786/

Contraindications

There are no contraindications for surgery of uterine fibroma

References

  1. ↑ 1.0 1.1 Goldman, Kara N.; Hirshfeld-Cytron, Jennifer E.; Pavone, Mary-Ellen; Thomas, Andrew P.; Vogelzang, Robert L.; Milad, Magdy P. (2012). "Uterine artery embolization immediately preceding laparoscopic myomectomy". International Journal of Gynecology & Obstetrics. 116 (2): 105–108. doi:10.1016/j.ijgo.2011.08.022. ISSN 0020-7292.
  2. ↑ Corina Grigoriu, Mihai Dumitrascu, Mirela Grigoras, Irina Horhoianu, V. Horhoianu, R. Nechifor, B. Dorobat, Alina Pavel & G. Lana (2008). "Combined endovascular and surgical therapy of uterine fibroma". Journal of medicinhttps://www.wikidoc.org/index.php?title=Fibroma_surgery&action=edite and life. 1 (1): 60–65. PMID 20108481. Unknown parameter |month= ignored (help); External link in |journal= (help)
  3. ↑ W. M. Ankum & J. A. Reekers (2001). "[Embolization of uterine artery: a new treatment for uterine myomas]". Nederlands tijdschrift voor geneeskunde. 145 (16): 765–769. PMID 11346912. Unknown parameter |month= ignored (help)
  4. ↑ A. Hirst, S. Dutton, O. Wu, A. Briggs, C. Edwards, L. Waldenmaier, M. Maresh, A. Nicholson & K. McPherson (2008). "A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study". Health technology assessment (Winchester, England). 12 (5): 1–248. PMID 18331704. Unknown parameter |month= ignored (help)
  5. ↑ W. M. Ankum & J. A. Reekers (2001). "[Embolization of uterine artery: a new treatment for uterine myomas]". Nederlands tijdschrift voor geneeskunde. 145 (16): 765–769. PMID 11346912. Unknown parameter |month= ignored (help)
  6. ↑ Corina Grigoriu, Mihai Dumitrascu, Mirela Grigoras, Irina Horhoianu, V. Horhoianu, R. Nechifor, B. Dorobat, Alina Pavel & G. Lana (2008). "Combined endovascular and surgical therapy of uterine fibroma". Journal of medicine and life. 1 (1): 60–65. PMID 20108481. Unknown parameter |month= ignored (help)
  7. ↑ W. M. Ankum & J. A. Reekers (2001). "[Embolization of uterine artery: a new treatment for uterine myomas]". Nederlands tijdschrift voor geneeskunde. 145 (16): 765–769. PMID 11346912. Unknown parameter |month= ignored (help)
  8. ↑ Corina Grigoriu, Mihai Dumitrascu, Mirela Grigoras, Irina Horhoianu, V. Horhoianu, R. Nechifor, B. Dorobat, Alina Pavel & G. Lana (2008). "Combined endovascular and surgical therapy of uterine fibroma". Journal of medicine and life. 1 (1): 60–65. PMID 20108481. Unknown parameter |month= ignored (help)
  9. ↑ R. W. Dover, H. W. Torode & G. M. Briggs (2000). "Uterine artery embolisation for symptomatic fibroids". The Medical journal of Australia. 172 (5): 233–236. PMID 10776397. Unknown parameter |month= ignored (help)
  10. ↑ Ozgur H. Harmanli & Meena Khandelwal (2003). "Transvaginal uterine artery ligation in a woman with uterine leiomyomas. A case report". The Journal of reproductive medicine. 48 (5): 384–386. PMID 12815915. Unknown parameter |month= ignored (help)
  11. ↑ A. Hirst, S. Dutton, O. Wu, A. Briggs, C. Edwards, L. Waldenmaier, M. Maresh, A. Nicholson & K. McPherson (2008). "A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study". Health technology assessment (Winchester, England). 12 (5): 1–248. PMID 18331704. Unknown parameter |month= ignored (help)

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