title: Surgical management of abnormal uterine bleeding in fertile age women.
abstract: Abnormal uterine bleeding is a common gynecological disease and represents one of the most frequent reasons for hospital admission to a specialist unit, often requiring further surgical treatment. Following the so-called PALM-COEIN system we will attempt to further clarify the surgical treatments available today. The first group (PALM) is characterized by structural lesions, which may be more appropriately treated by means of surgical management. Although hysterectomy remains the definitive and decisive choice, there are many alternative techniques available. These minimally invasive procedures offer the opportunity for a more conservative approach. Precise and accurate counseling facilitates better patient selection, based on the patient's desires, age and disease type, allowing treatment to be individually tailored to each woman.
authors.affiliation: Department of Biomedicine & Prevention, Obstetrics & Gynecological Clinic, University of Rome ''Tor Vergata'', Viale Oxford, 81, 00133, Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Finco
authors.affiliation: Department of Molecular & Developmental Medicine, University of Siena, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Centini
authors.affiliation: Department of Molecular & Developmental Medicine, University of Siena, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Lazzeri
authors.affiliation: Department of Molecular & Developmental Medicine, University of Siena, Italy.
authors.forename: Errico
authors.initials: E
authors.lastname: Zupi
mesh_terms: D062788:Adenomyosis / Q000150:complications* / Q000601:surgery; D055356:Endometrial Ablation Techniques / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D018231:Leiomyomatosis / Q000150:complications* / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011127:Polyps / Q000150:complications* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000601:surgery*; D014594:Uterine Neoplasms / Q000150:complications* / Q000601:surgery
keywords: PALM-COEIN; abnormal uterine bleeding; adenomyosis; endometrial hyperplasia; endometrial polyp; hysterectomy; hysteroscopy; myomectomy; surgical treatment