Traditional surgical approaches to uterine fibroids: abdominal myomectomy and hysterectomy.

摘要: Abdominal myomectomy and hysterectomy remain the traditional treatment of large symptomatic uterine myomas. The preoperative indications for abdominal or must be clearly evaluated delineated avoid unnecessary intervention. There appears to an increasing trend toward expectant management asymptomatic Women should consider options when their symptoms are severe enough warrant intervention benefits outweigh risks. advantages disadvantages medical also addressed before factors influencing choice therapy seem strongly dependent on both patient physician preferences. A clinical approach in patients with infertility repetitive miscarriage has been presented this chapter. rapid development use minimally invasive innovations adjunctive therapies provided clinicians a wealth alternatives. practical cost-effective based data currently available have presented; however, there remains paucity prospective randomized evaluate compare effectiveness safety these alternative treatments hysterectomy. Future studies help define optimal candidates surgical