Conservative surgical treatment of uterine fibroids in women of childbearing age
1Dalian Medical University, 116000 Dalian, Liaoning, China
2Department of Gynecology, The Affiliated Changzhou Second People’s Hospital of Nanjing Medical University, 213000 Changzhou, Jiangsu, China
3Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 230031 Hefei, Anhui, China
DOI: 10.22514/ejgo.2023.053 Vol.44,Issue 4,August 2023 pp.1-5
Submitted: 03 September 2022 Accepted: 18 October 2022
Published: 15 August 2023
Uterine fibroids are benign gynecologic tumors, and women aged between 30 to 50 years are known to have a high incidence of uterine fibroids. A growing number of pharmacotherapies and minimally invasive organ-preserving treatments have been designed and conducted over the past few years. However, there has not been any therapeutic drugs exhibiting an ideal therapeutic effect and low recurrence rate, such that the surgical treatment continues to be primarily employed in the actual clinical treatment. In general, surgical treatment has been performed as the organ- and fertility-preserving hysteroscopic or laparoscopic resections of the fibroids. Minimally invasive surgical equipment (e.g., hysteroscopy, traditional porous laparoscopy, trans-umbilical laparoscopy, transvaginal laparoscopy, as well as robot-assisted laparoscopy) has been extensively applied to clinical treatment. Compared with traditional laparotomy, minimally invasive surgical equipment is characterized by minimally invasive surgery, high efficiency and safety. As medical technology has been leaping forward, interventional therapy and radiofrequency ablation can also be employed for treating uterine fibroids. In accordance with the research progress worldwide, the current situation, limitations, and advantages of the treatment of uterine fibroids in patients with fertility requirements are reviewed in this study.
Uterine fibroids; Myomectomy; Uterine artery embolization; High-Intensity focused ultrasound; Radiofrequency ablation; Pregnancy; Fertility
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