Uterine dearterialization and myomectomy as a uterus conservative treatment with multiple myomas: a case report

Authors

  • Miguel Ángel Suarez Canido Médico Gineco-obstetra. Caja Petrolera de Salud. Docente asistencial Universidad Privada del Valle
  • Jimmy Castro Ñuco Médico Gineco-obstetra. Caja Petrolera de Salud. Docente asistencial Universidad Privada del Valle

DOI:

https://doi.org/10.52428/20756208.v16i40.73

Keywords:

Dearterialization, Ligature, Uterine myoma

Abstract

Fibroids or uterine leiomyomas are the most frequent solid tumors of the female genital tract, with a frequency in women of childbearing age between 20% and 40%. The real prevalence figures are unknown, since more than 50% of them are asymptomatic. Bilateral ligation of the uterine arteries, (either by laparotomy or laparoscopy) before myomectomy, is one of the most used surgical methods to reduce the loss blood Dearterialization by ligature of uterine arteries is a simple and safe method to control bleeding. A 32-year patient, G0P0, with a diagnosis of uterine myomatosis was presented, with severe transvaginal bleeding conditions, with hemodynamic and systemic repercussions.

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References

García JI, Aguirre MA, Ramos AM, Villa D, González G. Miomectomía y desarterialización uterina como tratamiento conservador de la miomatosis de grandes elementos: reporte de un caso. Ginecol Obstet Mex. 2016; 84(2):112-121.

Edwards RD, Moss JG, Lumsden MA, et al. Uterine artery embolization versus surgery for symptomatic uterine fibroids. The REST committee. N Engl J Med. 2007; 356:360‐70. https://doi.org/10.1056/NEJMoa062003

Alborzi S, Ghannadan E, Alborzi S, Alborzi M. A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma. Fertil Steril. 2009; 92(2):743-7. https://doi.org/10.1016/j.fertnstert.2008.06.011

Doumouchtsis SK, Niolopoulos K, Talaulikar VS, Krishna A, Arulkumaran S. Menstrual and fertility outcomes following the surgical management of postpartum hemorrhage: a systematic review. BJOG. 2014; 121:382-388. https://doi.org/10.1111/1471-0528.12546

Chang KM, Chen MJ, Lee MH, Huang YD, Chen CS. Fertility and pregnancy outcomes after uterine artery occlusion with or without myomectomy. Taiwan J Obstet Gynecol. 2012; 51(3):331-5. https://doi.org/10.1016/j.tjog.2012.07.002

Sanne M, Van Der Kooij MD A, B. Wouter JK, Hehenkamp MD. Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial. J Obstet Gynecol. 2010. 203(2):105.e1-105.e13. https://doi.org/10.1016/j.ajog.2010.01.049

Mara M, Maskova J, Fucikova Z, Kuzel D, et al. Midterm clinical and first reproductive results of a randomized controlled trial comparing uterine fibroid embolization and myomectomy. Cardiovasc Intervent Radiol. 2008; 31(1):73. https://doi.org/10.1007/s00270-007-9195-2

Marshburn PB, Matthews ML, Hurst BS. Uterine artery embolization as a treatment option for uterine myomas. Obstet Gynecol Clin North Am. 2006; 33: 125-44. https://doi.org/10.1016/j.ogc.2005.12.009

Loyola S, Fava M, Macaya R. Embolización de arterias uterinas en el tratamiento de miomas uterinos sintomáticos. Rev Chil Obstet Ginecol. 2007; 72(4):236-240. https://doi.org/10.1016/S0304-5013(09)72327-1

Pelage JP, Le Dref O, Soyer P, Kardache M, Dahan H, Abitbol M, et al. Fibroid-related menorrhagia: treatment with superselective embolization of the uterine arteries and midterm follow-up. Radiology. 2000; 215:428-31. https://doi.org/10.1148/radiology.215.2.r00ma11428

Published

2021-07-01

How to Cite

Suarez Canido, M. Ángel ., & Castro Ñuco, J. (2021). Uterine dearterialization and myomectomy as a uterus conservative treatment with multiple myomas: a case report. Revista De Investigación E Información En Salud, 16(40), 91–101. https://doi.org/10.52428/20756208.v16i40.73

Issue

Section

Case Report