書誌事項
- タイトル別名
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- Analysis of 19 Cases of Repeat Laparoscopic Myomectomy
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説明
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.
収録刊行物
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- 日本産科婦人科内視鏡学会雑誌
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日本産科婦人科内視鏡学会雑誌 30 (1), 127-132, 2014
日本産科婦人科内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282680322875136
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- NII論文ID
- 130004960101
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- ISSN
- 18845746
- 18849938
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 使用不可