Surgical management of uterine fibroids.
Journal
Current opinion in obstetrics & gynecology
ISSN: 1473-656X
Titre abrégé: Curr Opin Obstet Gynecol
Pays: England
ID NLM: 9007264
Informations de publication
Date de publication:
01 10 2023
01 10 2023
Historique:
medline:
11
9
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
ppublish
Résumé
Fibroids are benign pelvic masses and constitute the most common gynaecological condition. They create a significant health and social burden to many women because of heavy menstrual bleeding and fibroid pressure symptoms. Many women will be faced with the dilemma of surgical management to improve their symptoms at some point of their reproductive age. The aim of this article is to identify current surgical management of fibroids describing the technical steps, advantages, disadvantages and risks of each method. The surgical management of fibroids remains challenging, as the overall prevalence, the clinical experience and the patient awareness is increasing because of an upgrade in our sonographic and magnetic resonance diagnostic tools. Unfortunately not every patient is able to benefit from tailor-made surgery that holistically evaluates individual needs including fertility aspirations. This article provides the most current synopsis of every available surgical modality for fibroid management. Large prospective multicentre cohort studies are needed to definitely determine the most suitable operation for any individual suffering with fibroids; and perhaps artificial intelligence may offer a valuable tool in the future data analysis.
Identifiants
pubmed: 37548229
doi: 10.1097/GCO.0000000000000903
pii: 00001703-990000000-00079
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
440-445Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Références
Stewart EA, Nowak RA. Uterine fibroids: hiding in plain sight. Physiology 2022; 37:16–27.
Yang Q, Ciebiera M, Bariani MV, et al. Comprehensive review of uterine fibroids: developmental origin, pathogenesis, and treatment. Endocr Rev 2022; 43:678–719.
Machado-Lopez A, Simón C, Mas A. Molecular and cellular insights into the development of uterine fibroids. Int J Mol Sci 2021; 22:8483.
Stewart EA, Cookson CL, Gandolfo RA, Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review. BJOG 2017; 124:1501–1512.
Tinelli A, Vinciguerra M, Malvasi A, et al. Uterine fibroids and diet. Int J Environ Res Public Health 2021; 18:1066.
Ghant MS, Sengoba KS, Recht H, et al. Beyond the physical: a qualitative assessment of the burden of symptomatic uterine fibroids on women's emotional and psychosocial health. J Psychosom Res 2015; 78:499–503.
Wamsteker K, Emanuel MH, de Kruif JH. Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: results regarding the degree of intramural extension. Obstet Gynecol 1993; 82:736–740.
Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynecol Obstet 2011; 113:3–13.
Marsh EE, Al-Hendy A, Kappus D, et al. Burden, prevalence, and treatment of uterine fibroids: a survey of US women. J Women Health 2018; 27:1359–1367.
Loddo A, Djokovic D, Drizi A, et al. Hysteroscopic myomectomy: the guidelines of the International Society for Gynecologic Endoscopy (ISGE). Eur J Obstet Gynecol Reprod Biol 2022; 268:121–128.
Chittawar PB, Franik S, Pouwer AW, Farquhar C. Minimally invasive surgical techniques versus open myomectomy for uterine fibroids. Cochrane Database Syst Rev 2014; (10):CD004638.
Di Spiezio Sardo A, Mazzon I, Bramante S, et al. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update 2008; 14:101–119.
Casadio P, Youssef AM, Spagnolo E, et al. Should the myometrial free margin still be considered a limiting factor for hysteroscopic resection of submucous fibroids? A possible answer to an old question. Fertility and sterility 2011; 95:1764.e1–1768.e1.
Munro MG. Hysteroscopic myomectomy of FIGO type 2 leiomyomas under local anesthesia: bipolar radiofrequency needle–based release followed by electromechanical morcellation. J Minim Invasive Gynecol 2016; 23:12–13.
Bettocchi S, Ceci O, Nappi L, et al. Operative office hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol Laparosc 2004; 11:59–61.
Yin X, Cheng J, Ansari SH, et al. Hysteroscopic tissue removal systems for the treatment of intrauterine pathology: a systematic review and meta-analysis. Facts Views Vision Obgyn 2018; 10:207.
Wortman M. Endometrial ablation: past, present, and future part II. Surg Technol Int 2018; 33:161–177.
Loffer FD. Improving results of hysteroscopic submucosal myomectomy for menorrhagia by concomitant endometrial ablation. J Minim Invasive Gynecol 2005; 12:254–260.
Kotani Y, Tobiume T, Fujishima R, et al. Recurrence of uterine myoma after myomectomy: open myomectomy versus laparoscopic myomectomy. J Obstet Gynaecol Res 2018; 44:298–302.
Carranza-Mamane B, Havelock J, Hemmings R, et al. REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY COMMITTEE, SPECIAL CONTRIBUTOR. The management of uterine fibroids in women with otherwise unexplained infertility. J Obstet Gynaecol Can 2015; 37:277–285.
Giuliani E, As-Sanie S, Marsh EE. Epidemiology and management of uterine fibroids. Int J Gynaecol Obstet 2020; 149:3–9.
Oxley SG, Mallick R, Odejinmi F. Laparoscopic myomectomy: an alternative approach to tackling submucous myomas? J Minim Invasive Gynecol 2020; 27:155–159.
Kongnyuy EJ, Wiysonge CS. Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane database of systematic reviews 2014; (8):CD005355.
Dubuisson JB, Fauconnier A, Babaki-Fard K, Chapron C. Laparoscopic myomectomy: a current view. Hum Reprod Update 2000; 6:588–594.
Faivre E, Surroca MM, Deffieux X, et al. Vaginal myomectomy: literature review. J Minim Invasive Gynecol 2010; 17:154–160.
Manyonda I, Belli AM, Lumsden MA, et al. FEMME Collaborative Group. Uterine-artery embolization or myomectomy for uterine fibroids. New Engl J Med 2020; 383:440–451.
American College of Obstetricians and Gynecologists. Management of symptomatic uterine leiomyomas: ACOG practice bulletin, number 228. Obstet Gynecol 2021; 137:e100–e115.
American Association of Gynecologic Laparoscopists. AAGL practice report: practice guidelines for laparoscopic subtotal/supracervical hysterectomy (LSH). J Minim Invasive Gynecol 2014; 21:9–16.
Thakar R, Ayers S, Clarkson P, et al. Outcomes after total versus subtotal abdominal hysterectomy. New Engl J Med 2002; 347:1318–1325.
Clark NV, Cohen SL. Tissue extraction techniques during laparoscopic uterine surgery. J Minim Invasive Gynecol 2018; 25:251–256.
Donnez J, Dolmans MM. Uterine fibroid management: from the present to the future. Hum Reprod Update 2016; 22:665–686.
Zullo F, Venturella R, Raffone A, Saccone G. In-bag manual versus uncontained power morcellation for laparoscopic myomectomy. status and date. Cochrane Database Syst Rev 2020; 5:CD013352.
Takeda A, Tsuge S, Shibata M, et al. Identification of leiomyoma cell sheets in peritoneal washings retrieved by an intraoperative red blood cell salvage device during laparoscopic-assisted myomectomy with in-bag manual tissue extraction: a pilot study. J Minim Invasive Gynecol 2018; 25:1266–1273.
Andou M, Yanai S, Shirane A, Kanno K. Laparoscopic myomectomy. Surg J (N Y) 2020; 6: (Suppl 1): S35–S43.
Hald K, Langebrekke A, Kløw NE, et al. Laparoscopic occlusion of uterine vessels for the treatment of symptomatic fibroids: initial experience and comparison to uterine artery embolization. Am J Obstet Gynecol 2004; 190:37–43.
Exacoustos C, Zupi E, Marconi D, et al. Ultrasound-assisted laparoscopic cryomyolysis: two-and three-dimensional findings before, during and after treatment. Ultrasound Obstet Gynecol 2005; 25:393–400.
Donnez J, Squifflet J, Polet R, Nisolle M. Laparoscopic myolysis. Hum Reprod Update 2000; 6:609–613.
Luo X, Shen Y, Song WX, et al. Pathologic evaluation of uterine leiomyoma treated with radiofrequency ablation. Int J Gynaecol Obstet 2007; 99:9–13.
Napoli A, Alfieri G, Andrani F, et al. Uterine myomas: focused ultrasound surgery. Semin Ultrasound CT MR 2021; 42:25–36.
Havryliuk Y, Setton R, Carlow JJ, Shaktman BD. Symptomatic fibroid management: systematic review of the literature. JSLS 2017; 21: