Bustos-López HH, Leger VM, Jurado JM, Oviedo OG, Rojas-Poceros G

Language: Spanish
References: 39
Page: 123-130
PDF size: 452.86 Kb.

ABSTRACT

Uterine leiomyomata is an old medical problem, with a high incidence in gynecology, it has been reported a frequency of 25% among women in reproductive age an almost 50% between pathology trials. Nowadays we have new therapeutic options. This disease is one of the most frequent causes of gynecology consultations, it is characterized by histology identification of tumors composed by smooth muscle and connective tissue. The objective of this bibliography revision about uterine myomas, is to show to no-gynecologists endoscopics an actual panorams of this clinic entity as well as different therapeutic options. The importance for general surgeons is mainly based, in the high frequency of uterine leiomyomata, also on its incidental identification in no-gynecologic surgery and finally in the fact that any surgical treatment above myomas has a direct negative impact on patient’s reproductive prognosis. Also it has been reported that 40% of women with uterine leiomyomata has an infertility history. Myomas treatment has been modified substantially in the last decade, due to introduction of four modalities, first one are the use of gonadotropin releaser hormone analogues, secondly introduction of operative hysteroscopy, thirdly the laparoscopy myomectomy and the last one because of the introduction of new techniques a myolisis and uterine artery embolized. Finally we emphasize the objective of this publication, based on its high incidence, so general surgeons will be in front of it clinic entity frequently.

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