| ORIGINAL ARTICLE |
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| Year : 2018 | Volume
: 7
| Issue : 1 | Page : 10-15 |
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The changes of surgical treatment for symptomatic uterine myomas in the past 15 Years
Weihong Yang1, Ning Luo1, Lishan Ma2, Hong Dai2, Zhongping Cheng1
1 Department of Gynecology and Obstetrics, Tenth People's Hospital; Department of Gynecology, Gynecologic Minimally Invasive Surgery Research Center, Tongji University School of Medicine, Shanghai, P.R.China
2 Department of Gynecology, Gynecologic Minimally Invasive Surgery Research Center; Department of Obstetrics and Gynecology, Yangpu Hospital, Tongji University School of Medicine, Shanghai, P.R.China
Correspondence Address:
Dr. Zhongping Cheng
Director of Department of Gynecology and Obstetrics, Tenth People's Hospital, Tongji University School of Medicine, 301, Yan Chang Road, 200072, Shanghai
P.R.China
 Source of Support: None, Conflict of Interest: None  | 5 |
DOI: 10.4103/GMIT.GMIT_11_17
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Study Objective: The aim of this study is to elaborate the changes of the surgical approach of treatment for uterine myomas in Yangpu Hospital in the past 15 years.
Design: This was retrospective cohort study.
Setting: Yangpu Hospital, Tongji University School of Medicine, Shanghai, China.
Materials and Methods: A total of 4113 patients with symptomatic uterine myomas underwent surgical treatments. Interventions: Eight kinds of different surgeries were involved in the study, including abdominal or laparoscopic surgery, hysterectomy, or uterus-sparing myomectomy.
Measurements: The study collected patients' clinical data and reviewed surgical access and approach, complications, and the results of following up.
Results: A total of 1559 cases (37.9%) underwent uterus-sparing myomectomy, 3005 cases (73.1%) performed laparoscopic surgeries. The percentage of laparoscopic surgery was significantly higher than homochronous data of laparotomy after 2003 (P < 0.001). The per year total of uterus-reserved surgery was proved to be negatively correlated with patient's age (R2 = 0.930; P < 0.001). The rate of myomas recurrence was significantly lower in the combined myomectomy and uterine artery occlusion group (4%, 34/910) than in the single myomectomy group (10.5%, 44/420) (P < 0.001).
Conclusions: Retaining uterus and minimally invasive surgery were the important trends of surgical treatment for symptomatic uterine myomas. Laparoscopic uterus-sparing myomectomy may be an alternative to hysterectomy to manage to appropriate patients with uterine myomas.
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