2020
DOI: 10.21873/invivo.11826
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Surgical Intervention for Uterine Fibroids. Our 4-Year Experience and Literature Review: Is It Time to Centralise Care Provision Via Specialist Fibroid Centres?

Abstract: Background: Leiomyomas are common in women of reproductive age, for whom treatment-stratification can be challenging. We assessed factors influencing pre-operative selection of surgical intervention and compare outcomes. Patients and Methods: A literature review was performed and surgical interventions for fibroids at a London hospital (2015-2018) were retrospectively examined. Outcomes assessed were estimated blood loss, length of stay (LOS) and complications. Data were analysed using univariate non-parametri… Show more

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Cited by 9 publications
(2 citation statements)
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“…Laparoscopy has also been shown to have higher rates of patient satisfaction as opposed to an open approach [3,20]. The overall surgical risks are mitigated with surgeon experience as well as dedicated fibroid centers proficient at managing high fibroid burden [21][22][23]. In light of these findings, it is pertinent to collaborate with high-volume community gynecologic surgeons or refer to a MIGS subspecialist for management of complex leiomyomatous uteri (Tables 1 and 2).…”
Section: Minimally Invasive Gynecologic Surgery For Leiomyomatous Uterimentioning
confidence: 99%
“…Laparoscopy has also been shown to have higher rates of patient satisfaction as opposed to an open approach [3,20]. The overall surgical risks are mitigated with surgeon experience as well as dedicated fibroid centers proficient at managing high fibroid burden [21][22][23]. In light of these findings, it is pertinent to collaborate with high-volume community gynecologic surgeons or refer to a MIGS subspecialist for management of complex leiomyomatous uteri (Tables 1 and 2).…”
Section: Minimally Invasive Gynecologic Surgery For Leiomyomatous Uterimentioning
confidence: 99%
“…Nevertheless, significant bleeding from damage to the myometrium and blood vessels is common during myomectomy regardless of the surgical method, which often results in blood transfusions or, in rare cases, conversion to open surgery to try to achieve rapid hemostasis (6)(7)(8). Therefore, efforts to reduce intraoperative bleeding from surgical damage by injecting vasopressin into the subserosa of the uterus have long been practiced.…”
mentioning
confidence: 99%