Title: Role of uterine conservative surgery in reproductive age group women
Authors: Dr Rajshree Gohaodkar, Dr Deshdeepak, Dr Shalini Gupta
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.96
Abstract
Introduction: Fibroids are the most common benign tumour in women of reproductive age that may cause severe dysmenorrhoea, bleeding, and infertility. There is an increased demand for uterus sparing treatments as more women postpone childbirth to their 30s-40s, when fibroids are more symptomatic. With an increasing choice of treatment options and changing care provider profiles, now is the time to survey current practices and opinions. Endoscopic myomectomy currently represents the standard minimally invasive surgical procedure for treating various fibroids in patients with AUB and reproductive issues being the most common indication.
Aims & Objectives- 1) fate of infertile patient after myomectomy
2) type of surgery for uterine conservation
3) fate of technique used
Material And Method: This retrospective study was carried out on 130 women (age 20-48 yrs) who presented at Rajdeep endoscopy and IVF centre Kota with symptomatic fibroids and infertility.
Results: In our study, maximum incidence of myoma was reported in age group between 20-40 yrs of age and most common fibroids were intramural 38.46 %. Pregnancy rate have reached 50-60% after both laparoscopy and abdominal myomectomy.
Conclusion: In current practice, myomectomy is the most common procedure offered to women seeking to retain their uterus. when performed by an experienced surgeon the procedure is safe and the morbidity is no greater than that of a hysterectomy
Keywords: Myoma, infertility, abnormal uterine bleeding, endoscopic myomectomy.
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