Analysis of 19 Cases of Repeat Laparoscopic Myomectomy
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- Suzuki Yukio
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Wada S
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Kawashima A
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Yamamoto M
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Minowa K
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Koizumi A
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Takenaka H
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Nakajima A
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Fukushi Y
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Hayashi M
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Fujino T
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
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- Sato C
- Department of Obstetrics and Gynecology, Teine Keijinkai Hospital
Bibliographic Information
- Other Title
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- 当科にて腹腔鏡下子宮筋腫核出術を反復した19症例が再手術に至った要因についての検討
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Abstract
Objective: A laparoscopic myomectomy (LM) is sometimes repeated because of residual or recurring myomas. The purpose of this study was to examine the characteristics of the cases of repeat LM retrospectively. <br>Materials and methods: The clinical data of 19 women undergoing a repeat LM among 1,707 cases of LM from January 2005 through August 2012 in our hospital were analyzed. All myomas were diagnosed with a MRI, and LM was performed via the pneumoperitoneum method.<br>Results: Ten patients (52.9%) were pretreated with a gonadotropin releasing hormone agonist. The average duration between the first and second LMs was 34.2 months (range: 2 to 76 months). The average number of enucleated myomas was 6.1 (range: 1-22) in the first operation and 7.0 (range: 1-23) in the second procedure. In 12 cases, the myomas were almost completely enucleated; however, small remnants may have remained. In contrast, in the other seven cases, we determined that residual myomas resulted in the repeat LM. The main reasons for the residual myomas were: 1) status several myomas in close proximity; 2) myomas not well visualized; and 3) degenerative myomas, which were difficult to discriminate from normal myometrium.<br>Conclusions: The primary reason for a repeat LM was the unavoidable recurrence of myoma; however, residual myomas were the indication for the reoperation in conditions such as 'myoma complex' and 'degenerative myoma'. In those cases, meticulous surgical technique should reduce the need for a repeat LM.
Journal
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- JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
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JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 30 (1), 127-132, 2014
JAPAN SOCIETY OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY AND MINIMALLY INVASIVE THERAPY
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Details 詳細情報について
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- CRID
- 1390282680322875136
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- NII Article ID
- 130004960101
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- ISSN
- 18845746
- 18849938
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed