Surgical treatment of uterine fibroids: current state of the problem and own experience


  • I.P. Martsynkovskyi
  • R.P. Stashchuk
  • O.V. Klymeniuk
  • V.V. Levchyk
  • M.V. Ivasiuk
  • D.I. Grebeniuk
Keywords: uterine myoma, surgical treatment, hysterectomy, myomectomy

Abstract

Uterine myomas are the commonest gynecological tumors, with a prevalence of 70% to 80% in women who have reached the age of 50 years. In the contingent of women aged 25 to 44 years, the incidence is 8.9-30.9/1000. The prevalence of uterine myomas increases with age, peaking in women in 40 years. A hysterectomy study has found myomas in 77% of uterine specimens. In many women myomas may be asymptomatic and are diagnosed incidentally on clinical examination or imaging. However, myomas can cause significant morbidity including menstrual abnormalities (e.g. heavy, irregular, and prolonged uterine bleeding), iron deficiency anemia, bulk symptoms (e.g. pelvic pressure/pain, obstructive symptoms), and fertility issues. Symptomatic fibroids have a considerable impact on women's quality of life as well as their productivity. The article describes an overview of modern surgical methods for treating of uterine myomas. The advantages and disadvantages of each surgical method, indications and contraindications to their use are analyzed and described. Modern minimally invasive techniques for the treatment of uterine fibroids, such as uterine artery embolization and the use of focused energy delivery systems, are described. The clinical case of nodal symptomatic uterine myoma with necrosis of the fibromatous node in a patient treated in the Military Medical Clinical Center of the Central Region is given. The patient performed extirpation of the uterus with left appendages, right uterine tube.

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Published
2018-09-28
How to Cite
Martsynkovskyi, I., Stashchuk, R., Klymeniuk, O., Levchyk, V., Ivasiuk, M., & Grebeniuk, D. (2018). Surgical treatment of uterine fibroids: current state of the problem and own experience. Reports of Vinnytsia National Medical University, 22(3), 561-568. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2018-22(3)-34

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