VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Laparoskopska miomektomija - indikacije, tehnike in zapleti = Laparoscopic myomectomy - indications, techniques and complications
    Ribič-Pucelj, Martina ...
    Background. Retrospective analysis of indications, surgical techniques and complications of laparoscopic myomectomy. Patients and methods. Between October 1997 and July 2000, 326 women with with ... myomas exceeding 3 cm in diameter underwent laparoscopic myomectomy at the Department of Obstetrics andGynaecology, University Medical Centre Ljubljana, Slovenia. The mean patient age was 37,6 +- 6.2 year (range; 22 - 55 years) and the mean size of the leading myoma was 5.6 +- 2.1 cm (range; 3 - 15 cm). A 4-puncture techniquewas used and POR 8 was injected into the myometrium to reduce intraoperative bleeding. The incision to the myometrium above the myoma by means of a monopolar electric needle was done in 196 (64.0%) patients; ultracision was used in 116 (31.5%) patients. In 14 (4.5%) patients the base of the pedunculated myoma was ligated with an endo-loop and cut with scissors or an electric needle. The myometrium was reconstructed in one or two layers with single or reverse stitches in all patients, except in those in whom the pedunculated myoma was ligated and with an electric morcellator in 277 (85%). Results. The most frequent indications for laparoscopic myomectomy included reproductive problems (n = 86; 26.5%), growing myoma (n = 82; 25.0%), meno-metrorrhagia (n = 59; 18.2%) and pelvic pain (n = 50; 15.4%); 49 (14,9%) patients presented with polysymptomatic myomas. Myomas were solitary in 245 (75%) patients and mupltiple in 81 (25%). In 326 patients, a total of 438 myomas were removed. In 198 (60.8%) cases, the leading myoma was intramural, in 81 (24.8%) subserous, in 36 (11.1%) intraligamentary, in 7 (2.1%) cervical and 4 (1.2%) patients it was of a submucous type II and larger than 4 cm. In 95 (29.2%) patients additional endoscopic procedures were performed resection of submucous myoma and/or endometrium. (Abstract truncated at 2000 characters).
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 5, št. 12/13, september/november 2000, str. 77-82)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 12600281

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