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Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids
OBJECTIVE: To compare approaches to myomectomy (laparotomic, laparoscopic, and robotic). To show the relationship between the number of fibroids and the reproduction diagnosis. METHODS: Observational, analytical, retrospective, and cross-sectional study; where the surgical approach used, was evaluat...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Brazilian Society of Assisted Reproduction
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769192/ https://www.ncbi.nlm.nih.gov/pubmed/34415690 http://dx.doi.org/10.5935/1518-0557.20210049 |
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author | Morales, Héctor Salvador Godoy López, Radamés Rivas López, Germán Gabriel Palacios Mondragón, Pablo Joaquín Cervantes Cortés, Daniel Vieyra Hernández, Hilda Sánchez Guiot, Miguel Loyo Camacho, Francisco Miguel Rojas |
author_facet | Morales, Héctor Salvador Godoy López, Radamés Rivas López, Germán Gabriel Palacios Mondragón, Pablo Joaquín Cervantes Cortés, Daniel Vieyra Hernández, Hilda Sánchez Guiot, Miguel Loyo Camacho, Francisco Miguel Rojas |
author_sort | Morales, Héctor Salvador Godoy |
collection | PubMed |
description | OBJECTIVE: To compare approaches to myomectomy (laparotomic, laparoscopic, and robotic). To show the relationship between the number of fibroids and the reproduction diagnosis. METHODS: Observational, analytical, retrospective, and cross-sectional study; where the surgical approach used, was evaluated in terms of surgical bleeding, time, number and weight of fibroids and reproductive results. RESULTS: 69 patients were treated through different approaches and divided into 3 groups. The differences found among groups were in favor of laparotomic myomectomy in terms of the number (p=0.000) and weight of fibroids (p=0.004). Robotic surgery was also longer (p=0.000). In the analysis of the influence of the number of fibroids to achieve pregnancy, the result was in favor of the minimally invasive routes, after surgery, both in the group of < 6 fibroids (p=0.017), and that of > 6 fibroids (p=0.001), without differences in the time from surgery to pregnancy (p=0.979). CONCLUSIONS: The surgical approach decision should consider the number and size of resected fibroids, surgical time, and reproductive diagnosis. The minimally invasive route should be offered whenever possible due to its better outcome on achieving pregnancy, without forgetting the benefits of laparotomy, while also accrediting the recently introduced robotic-assisted approach. |
format | Online Article Text |
id | pubmed-8769192 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Brazilian Society of Assisted Reproduction |
record_format | MEDLINE/PubMed |
spelling | pubmed-87691922022-01-24 Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids Morales, Héctor Salvador Godoy López, Radamés Rivas López, Germán Gabriel Palacios Mondragón, Pablo Joaquín Cervantes Cortés, Daniel Vieyra Hernández, Hilda Sánchez Guiot, Miguel Loyo Camacho, Francisco Miguel Rojas JBRA Assist Reprod Original Article OBJECTIVE: To compare approaches to myomectomy (laparotomic, laparoscopic, and robotic). To show the relationship between the number of fibroids and the reproduction diagnosis. METHODS: Observational, analytical, retrospective, and cross-sectional study; where the surgical approach used, was evaluated in terms of surgical bleeding, time, number and weight of fibroids and reproductive results. RESULTS: 69 patients were treated through different approaches and divided into 3 groups. The differences found among groups were in favor of laparotomic myomectomy in terms of the number (p=0.000) and weight of fibroids (p=0.004). Robotic surgery was also longer (p=0.000). In the analysis of the influence of the number of fibroids to achieve pregnancy, the result was in favor of the minimally invasive routes, after surgery, both in the group of < 6 fibroids (p=0.017), and that of > 6 fibroids (p=0.001), without differences in the time from surgery to pregnancy (p=0.979). CONCLUSIONS: The surgical approach decision should consider the number and size of resected fibroids, surgical time, and reproductive diagnosis. The minimally invasive route should be offered whenever possible due to its better outcome on achieving pregnancy, without forgetting the benefits of laparotomy, while also accrediting the recently introduced robotic-assisted approach. Brazilian Society of Assisted Reproduction 2022 /pmc/articles/PMC8769192/ /pubmed/34415690 http://dx.doi.org/10.5935/1518-0557.20210049 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Morales, Héctor Salvador Godoy López, Radamés Rivas López, Germán Gabriel Palacios Mondragón, Pablo Joaquín Cervantes Cortés, Daniel Vieyra Hernández, Hilda Sánchez Guiot, Miguel Loyo Camacho, Francisco Miguel Rojas Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title | Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title_full | Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title_fullStr | Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title_full_unstemmed | Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title_short | Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
title_sort | surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769192/ https://www.ncbi.nlm.nih.gov/pubmed/34415690 http://dx.doi.org/10.5935/1518-0557.20210049 |
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