Laparoscopically assisted uterine fibroid cryoablation
American Journal of Obstetrics and Gynecology, 09/11/2009
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Pansky M et al. – The pilot data indicate that uterine fibroid cryoablation is a safe and effective minimally invasive alternative to treat symptomatic uterine fibroids.
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Decreasing margins to the uterine serosa as a method for increasing the volume of fibroids ablated with magnetic resonance-guided focused ultrasound surgery
European Journal of Obstetrics & Gynecology and Reproductive Biology, 08/25/2009
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Morita Y et al. – Reducing the margin between the fibroid treatment area and the uterine serosa, when possible, enables MRgFUS treatment of greater fibroid volume, while maintaining a high ... attention should be paid when the uterus lies adjacent to other sensitive organs to avoid unintentional heating of these organs, using the planning and real–time MR images.
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Acute complications of fibroids
Best Practice & Research Clinical Obstetrics & Gynaecology, 09/08/2009
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Gupta S et al. – Deep vein thrombosis is usually due to pelvic venous compression, and while some have advocated that its occurrence in association with a fibroid mass should be an absolute indication for hysterectomy, sophisticated use of radiological ... and haematological support with appropriate anticoagulation, could enable uterine–preserving surgery. The diagnosis of fibroids as a cause of acute urinary retention should be one of exclusion.
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Safety and Effectiveness of Uterine Artery Embolization in Patients with Pedunculated Fibroids
Journal of Vascular and Interventional Radiology, 09/14/2009
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Smeets AJ et al. – In this small series of pedunculated subserosal fibroids treated with UAE, no complications occurred. The findings suggest that the use of UAE to treat pedunculated subserosal fibroids may be safe and effective.
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Venous thromboembolism as a complication of uterine fibroids: A retrospective descriptive study
Journal of Obstetrics and Gynaecology, 10/27/2009
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Fletcher H et al. – Of the five cases with VTE after surgery for fibroids, none had prophylactic heparin. Of the cases, 15 died – 23% of women with VTE at PM and 0.8% of those with fibroids.
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The effect of intramural fibroids without uterine cavity involvement on the outcome of IVF treatment: a systematic review and meta-analysis
Human Reproduction, 11/13/2009
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Sunkara SK et al. – The presence of non–cavity–distorting intramural fibroids is associated with adverse pregnancy outcomes in women
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Ultrasound-Guided Radiofrequency Thermal Ablation of Uterine Fibroids: Medium-Term Follow-Up
Cardiovascular and Interventional Radiology, 09/28/2009
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Carrafiello G et al. – At follow–up the mean diameter was 3.0 cm, and the mean volume was 18 cm3. In 10 of 11 patients authors obtained total or partial regression of symptoms. In one case the ... unsuccessful. US–guided percutaneous RFA is a safe and effective treatment even for fibroids up to 8 cm.
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Patient's weight not linked to success of fibroid surgery
EurekAlert, 11/20/2009
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Obese patients are no more likely to have post–operative complications than those of average weight when undergoing robotic surgery to remove uterine fibroids.
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Hysteroscopic Myomectomy and Case Volume Hysteroscopic Myomectomy Performed by High- and Low-Volume Surgeons
The Journal of Reproductive Medicine, 08/05/2009
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Betjes HE et al. – High–volume surgeons have higher efficiency performing hysteroscopic myomectomy as a treatment for uterine fibroids.
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The effectiveness of hysteroscopy in improving pregnancy rates in subfertile women without other gynaecological symptoms: a systematic review
Human Reproduction Update, 09/11/2009
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Bosteels J et al. – Scarce evidence on the effectiveness of hysteroscopic surgery in subfertile women with polyps, fibroids, septate uterus or intrauterine adhesions indicates a potential benefit. More randomized controlled trials are needed before widespread use of
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