Directed laparoscopic cryomyolysis: A possible alternative to myomectomy and/or hysterectomy for symptomatic leiomyomas

The purpose of this study was to develop a minimally invasive, safe, and effective technique for managing symptomatic uterine myomas. Twenty patients with symptomatic uterine fibroids were treated. All had complaints of abnormal bleeding and/or pelvic pain/pressure and/or urinary frequency. Myoma di...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2004-03, Vol.190 (3), p.639-643
Main Authors: Zupi, Errico, Piredda, Alessio, Marconi, Daniela, Townsend, Duane, Exacoustos, Caterina, Arduini, Domenico, Szabolcs, Beata
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Vessels - diagnostic imaging
Cryoablation
Cryomyolysis
Cryosurgery
Female
Fibroids
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy
Laparoscopy
Leiomyoma - blood supply
Leiomyoma - diagnostic imaging
Leiomyoma - surgery
Length of Stay
Medical sciences
Menorrhagia
Middle Aged
Minimally Invasive Surgical Procedures
Myometrium
Treatment Outcome
Ultrasonography
Uterine Neoplasms - blood supply
Uterine Neoplasms - diagnostic imaging
Uterine Neoplasms - surgery
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Summary:The purpose of this study was to develop a minimally invasive, safe, and effective technique for managing symptomatic uterine myomas. Twenty patients with symptomatic uterine fibroids were treated. All had complaints of abnormal bleeding and/or pelvic pain/pressure and/or urinary frequency. Myoma diameters were 4 to 8 cm. Power color Doppler imaging was performed preoperatively and postoperatively to determine the effectiveness of cryomyolysis in reducing or eliminating the primary blood supply, as well as regression of the myomas. Laparoscopic cryomyolysis was performed with use of the Her Option Cryoablation System (American Medical Systems Gynecology, San Diego, Calif). Patients were evaluated at 1, 3, and 6 months postoperatively. All patients were discharged within 24 hours of treatment. No intraoperative or postoperative complications occurred. Of the 20 patients treated, 19 had complete resolution of their complaints. Myomas regressed up to 80%, and major blood supply to the myomas was eliminated. Directed laparoscopic cryomyolysis is an effective and safe technique for symptom relief from leiomyomas.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2003.10.687