[Surgical treatment of uterine myoma: need for surgery and long-term results].
We analysed the indications to myomectomy in females in reproductive age and estimated efficasy of this treatment. 112 patients aged 23-45 were analysed. Most common indication to this procedure were: menorrhagia--45.54%, myoma found at gynecological examination--21.43%, adnexal mass--20.54% and pelvic pain--15.18%. 54.46% patients were parous, 34.82% nulligravid and 10.72% had a history of spontaneous abortion. There was low percentage of intraoperation complications--2.67%, as well as postoperation complications--3.57%. More than 5 years follow-up revealed recurrent myoma in 14.28% females and in 6.25% hysterectomy was performed. Cervical polypus was found in 8.04%, endometrial hyperplasia in 2.68%. 18.75% patients had menorrhagia and 5.36% abdominal pain. Successful pregnancies have occurred in 42.11% infertile women prior to surgery but with patent fallopian tubes. Our study shows that myomectomy is safe and well accepted method of treatment for uterine myomas however always stands a risk of recurrents.
Płoszyński
A
A
I Kliniki Połoznictwa i Ginekologii Instytutu Połoznictwa i Chorób Kobiecych AM w Gdańsku.
Gniadek
R
R
Adamcio-Deptulska
M
M
Mielnik
J
J
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009214:Myoma / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D014594:Uterine Neoplasms / Q000601:surgery*
Zachowawcze operacyjne leczenie mieśniaków macicy--wskazania i odległe wyniki.