Cano LH, Cano AHE, Cano AFD

Language: Spanish
References: 10
Page: 654-658
PDF size: 74.97 Kb.

ABSTRACT

Background: Uterine fibroids are the most common tumors of the uterus, their distribution in anatomical layers and segments of it are very varied clinical manifestations are usually abnormal bleeding and known treatments, the surgery is the most accomplished, either myomectomy or hysterectomy by both endoscopy and laparotomy, transvaginal approach is less common, but consider it a right way and solving the problem in selected cases.
Objective: To present a well-defined study protocol in patients with abnormal uterine bleeding, and myomectomy as a surgical transcervical simple, safe and effective in patients with intracavitary myoma protruded through the cervical canal.
Material and methods: ten patients are presented with abnormal uterine bleeding and anemia of various degrees, studied over a period of two years, following a research protocol for clinical methods, cabinet and laboratory diagnosis was submucosal fibroids with single fibroid, pedunculated protruding a vagina, treatment was performed transcervical myomectomy,.
Results: The surgical procedure was obtained by solving the problem, having found the ten patients in the subsequent revisions in the outpatient, asymptomatic and without tumor lesions in the uterus.
Conclusions: This study shows that performing a notarization in patients with abnormal uterine bleeding and making appropriate surgical treatment, achieves the desired objectives.

REFERENCES

1. Leppert PC, Catherino WH, Segas JH. A New Hypothesis about the origin of uterine fibroids based on gene expression profiling whit microarrays. Am J Obstet Gynecol 2006;195:415-420.

2. Stewart EA, Morton CC. The genetics of uterine leiomyomata: What clinicians need to know. Obstet Gynecol 2006;107:917- 921.

3. Yoshida S, Ohara N, Xu Q, Chen Wang J, Nakabayashi K, et al. Cell-type specific actions of progesterone receptor modulators in the regulation of uterine leiomyoma growth. Semin Reprod Med 2010;28:260-273.

4. Bautista GE, Monzoy VJ, Morales GV, Galvan H, Flores RAL. Miomas uretrales: reporte de dos casos. Ginecol Obstet Mex 2011;79(6):386-388.

5. Aguilera MV, Pérez Santana ME, Ávila Contreras MA, Mendoza E. Leiomioma vulvar, presentación de un caso. Ginecol Obstet Mex 2011;79(6):382- 385.

6. Tena AG, Torres del TB, Carranza LS, Valle EA. Miomectomía histeroscópica. Ginecol Obstet Mex 1994;63:381-383.

7. Kably A, Anaya CH, Garza P, Delgado UJ. Miomectomía abdominal y fertilidad. Ginecol Obstet Mex 1990;58:274-276.

8. Fedel L, Parazzini F, Luchini L, Mezzopane R, Tozzi, Villa L. Recurrence of fibroids after myomectomia and transvaginal ultrasonography study. Human Reprod 1995;10:1745-1746.

9. Cramer SF, Patel A. The frequency of uterine leiomyomas. A MJ Clin Pathol 1990;94:435-438.

10. Broder MS, Goodwin S, Chen G, Tang LJ, Constantino MM, Irigoyen MH, et al. Comparison of long-term outcomes of myomectomia and uterine artery embolization. Obstet Gynecol 2002;100:864-868.