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Frequency, complications and outcomes of myomectomy in reproductive age women: retrospective analysis and expert opinion

Abstract

The incidence of uterine fibroid in the general female population is estimated at 20%-25%. In 2008, a study involving 145 gynecologists from a few large Russian cities demonstrated that the majority of the respondents had to handle from 10 to 30 (mean 20) women with fibroid every month. Only 28.8% of the patients had newly diagnosed uterine fibroids. Surgical treatment was recommended to 29.8% of the women. A few variants of myoma treatment are distinguished. Fortunately, over 40% of these tumors are asymptomatic. We performed a retrospective analysis of 218 patients submitted to myomectomy in our medical center between 2011 and 2013. In 149 cases (68%) myomectomy was conducted as a step of preparation for pregnancy. The pregnancy rate was 51.6%. A single (1.3%) complication in the form of uterine scar rupture was documented in week 34 of pregnancy. In our opinion, myomectomy is a high-technology operation that must be performed strictly based on the principle of “best” surgery for the “best” patient.

J Endometr Pelvic Pain Disord 2017; 9(2): 116 - 119

Article Type: POINT OF VIEW

DOI:10.5301/jeppd.5000285

Authors

Alexander A. Popov, Anton A. Fedorov, Ekaterina A. Loginova

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

Affiliations

  • Moscow Regional Scientific and Research Institute Obstetrics and Gynaecology, Moscow - Russia

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