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Myomectomy in infertile women: More harm than good?
Adhesion formation following gynecological surgery remains a challenge. The adoption of minimally invasive surgical approaches, such as conventional or robotic-assisted laparoscopy combined with meticulous microsurgical principles and the application of adhesion–reducing substances, is able to reduc...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150951/ https://www.ncbi.nlm.nih.gov/pubmed/37139194 http://dx.doi.org/10.3389/fsurg.2023.1151901 |
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author | Mercorio, Antonio Della Corte, Luigi Boccia, Dominga Palumbo, Mario Reppuccia, Sabrina Buonfantino, Cira Cuomo, Lara Borgo, Maria Zitiello, Antonio De Angelis, Maria Chiara Laganà, Antonio Simone Bifulco, Giuseppe Giampaolino, Pierluigi |
author_facet | Mercorio, Antonio Della Corte, Luigi Boccia, Dominga Palumbo, Mario Reppuccia, Sabrina Buonfantino, Cira Cuomo, Lara Borgo, Maria Zitiello, Antonio De Angelis, Maria Chiara Laganà, Antonio Simone Bifulco, Giuseppe Giampaolino, Pierluigi |
author_sort | Mercorio, Antonio |
collection | PubMed |
description | Adhesion formation following gynecological surgery remains a challenge. The adoption of minimally invasive surgical approaches, such as conventional or robotic-assisted laparoscopy combined with meticulous microsurgical principles and the application of adhesion–reducing substances, is able to reduce the risk of de novo adhesion formation but do not eliminate it entirely. Myomectomy is the most adhesiogenic surgical procedure and postoperative adhesions can have a significant impact on the ability to conceive. Therefore, when surgery is performed as infertility treatment, attention should be paid to whether the benefits outweigh the risks. Among several factors, the size and the location of fibroids are the most accountable factors in terms of adhesion development and post surgical infertility; therefore, the search for effective strategies against adhesion formation in this setting is of paramount importance. The purpose of this review is to evaluate the incidence and factors of adhesion formation and the best preventive measures current available. |
format | Online Article Text |
id | pubmed-10150951 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101509512023-05-02 Myomectomy in infertile women: More harm than good? Mercorio, Antonio Della Corte, Luigi Boccia, Dominga Palumbo, Mario Reppuccia, Sabrina Buonfantino, Cira Cuomo, Lara Borgo, Maria Zitiello, Antonio De Angelis, Maria Chiara Laganà, Antonio Simone Bifulco, Giuseppe Giampaolino, Pierluigi Front Surg Surgery Adhesion formation following gynecological surgery remains a challenge. The adoption of minimally invasive surgical approaches, such as conventional or robotic-assisted laparoscopy combined with meticulous microsurgical principles and the application of adhesion–reducing substances, is able to reduce the risk of de novo adhesion formation but do not eliminate it entirely. Myomectomy is the most adhesiogenic surgical procedure and postoperative adhesions can have a significant impact on the ability to conceive. Therefore, when surgery is performed as infertility treatment, attention should be paid to whether the benefits outweigh the risks. Among several factors, the size and the location of fibroids are the most accountable factors in terms of adhesion development and post surgical infertility; therefore, the search for effective strategies against adhesion formation in this setting is of paramount importance. The purpose of this review is to evaluate the incidence and factors of adhesion formation and the best preventive measures current available. Frontiers Media S.A. 2023-04-17 /pmc/articles/PMC10150951/ /pubmed/37139194 http://dx.doi.org/10.3389/fsurg.2023.1151901 Text en © 2023 Mercorio, Della Corte, Boccia, Palumbo, Reppuccia, Buonfantino, Cuomo, Borgo, Zitiello, De Angelis, Laganà, Bifulco and Giampaolino. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Mercorio, Antonio Della Corte, Luigi Boccia, Dominga Palumbo, Mario Reppuccia, Sabrina Buonfantino, Cira Cuomo, Lara Borgo, Maria Zitiello, Antonio De Angelis, Maria Chiara Laganà, Antonio Simone Bifulco, Giuseppe Giampaolino, Pierluigi Myomectomy in infertile women: More harm than good? |
title | Myomectomy in infertile women: More harm than good? |
title_full | Myomectomy in infertile women: More harm than good? |
title_fullStr | Myomectomy in infertile women: More harm than good? |
title_full_unstemmed | Myomectomy in infertile women: More harm than good? |
title_short | Myomectomy in infertile women: More harm than good? |
title_sort | myomectomy in infertile women: more harm than good? |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150951/ https://www.ncbi.nlm.nih.gov/pubmed/37139194 http://dx.doi.org/10.3389/fsurg.2023.1151901 |
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