Cic edizioni internazionali
Giornale Italiano di ostetricia e ginecologia

The course and outcomes of pregnancy in patients with hysteromyoma in different treatment methods

Mini-Review, 75 - 81
doi: 10.11138/giog/2017.39.2.075
Tag this article
Abstract
Enhanced HTML Full text PDF
The need to study the effect of uterine arteries (EUA) embolization on fertility is due to the fact that the reproductive behavior of a modern woman supposes planning to become pregnant after the age of 30 and older, when hysteromyoma is observed in every 4 women. This fact requires a search for the best types of organ-saving myoma treatment, with a guarantee of consecutive pregnancy and childbirth. The aim of the study was to compare the course and outcome of pregnancy in women with hysteromyoma after EUA and myomectomy to determine the choice of the most optimal treatment method in women with unrealized motherhood. The course and outcomes of pregnancy and condition of newborns of 147 patients were studied: after EUA (main group) and after myomectomy (comparison group 1), as well as patients with intact myomas (comparison group 2), and women without hysteromyoma (comparison group 3). The material was accumulated retrospectively by examining the medical documentation: medical records, notification cards of pregnant and maternity women, birth records and records of infant development. It was found that women treated by myomectomy and EUA had differences in the nature of complications during pregnancy, the course of puerperal period, method of delivery. The risks for subsequent pregnancies were more real in patients after myomectomy due to myoma recurrence in 50% of cases during pregnancy, scars on the uterus (after myomectomy and cesarean). No new knots, growth and vascularization of the existing myoma were observed after EUA, which makes it possible to regard EUA as the method of choice, especially in cases of motherhood not finally realized.

Vol. XLI (No. 2) 2019 Aprile - Giugno

  1. The impact of vaginal and endometrial microbiota in women’s fertility: a review of literature
    Piccioni M.G., Merlino L., Mariani M., Paladini V., Giannini A., Faralli I., Riganelli L., Tabacco S., Colagiovanni V., Di Muzio M., Giancotti A., Di Donato V., Monti M.
  2. Early markers of perinatal cerebral ischemia in newborns
    Remneva O.V., Fadeeva N.I., Yavorskaya S.D., Korenovsky Y.V., Koliado O.V.
  3. Accelerated pregnancy termination increases life expectancy for mothers and neonates in cases of acute fatty liver of pregnancy
    Pribadi A., Sibarani C.N.R., Mose J.C., Hidayat Y.M.
  4. 3-D ultrasound in the study of placental vascularization: application of vocal technique. A case-control study and a review of literature
    Piccioni M.G., Vena F., Del Negro V., D'Ambrosio V., Capone C., Donfrancesco C., Tabacco S., Tibaldi V., Fruci S., Giannini A., Schiavi M.C., Muzii L., Brunelli R., Giancotti A.
  5. Uterine asymptomatic myomas: an overview from diagnosis to treatment
    Di Donato V., Musella A., Bracchi C., Lecce F., Colagiovanni V., Di Pinto A., Santangelo G., Giannini A., Tomao F., Palaia I., Perniola G., Muzii L., Benedetti Panici P.
  6. Detection of twin reversed arterial perfusion sequence at the time of first ultrasound screening and its spontaneous resolution: a case report
    Piccioni M.G., Merlino L., Mariani M., Sassu C., Bracchi C., Tabacco S., Schivi M.C., Giannini A., Palaia I., Muzii L., Giancotti A., Monti M.
  7. Two cases of large retroperitoneal schwannoma treated with minimally invasive surgery: role of the gynecologic oncologist
    Giannini A., Usoro E., May J., Moulla A., Walker J., Benedetti Panici P., Congiu M.A.
Last Viewed articles: la lista degli ultimi x visitati.
  1. The course and outcomes of pregnancy in patients with hysteromyoma in different treatment methods
    Gurjeva V.A., Kolyado O.V., Karacheva Y.O.
    doi: 10.11138/giog/2017.39.2.075
credits