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Myomectomy Techniques

  • Chapter
Radiological Interventions in Obstetrics and Gynaecology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Uterine fibroids are common, and if symptomatic and the uterus is to be conserved for child-bearing, myomectomy is the traditional surgical solution. Myomectomy can be done by a variety of techniques, including by laparotomy (open surgery), laparoscopy, hysteroscopy and via the vagina. Each has its indication, and advantages and disadvantages. Open myomectomy is suitable for all cases and remains the only choice when the fibroids are numerous and/or large. Laparoscopic myomectomy is most suited to small to medium sized subserous fibroids but can also be used if the fibroid is intramural. Recently, robotically assisted laparoscopic myomectomy has been introduced into clinical practice, but whether it is cost effective remains to be seen. Hysteroscopic myomectomy is indicated for small intra-cavitary and submucous fibroids. Finally, vaginal myomectomy, widely practised in the nineteenth century, is undergoing a revival as an alternative to laparoscopic and hysteroscopic surgery.

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Authors and Affiliations

  1. University Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond Street, Hampstead, London, NW3 2QG, UK

    Adam Magos & Ioannis Tsibanakos

Authors
  1. Adam Magos
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  2. Ioannis Tsibanakos
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Correspondence to Adam Magos .

Editor information

Editors and Affiliations

  1. Department of Radiology, Guy’s Hospital, London, UK

    John Reidy

  2. Department of Clinical Radiology, Southampton General Hospital, Southampton, UK

    Nigel Hacking

  3. Los Angeles Fibroid Treatment Center, Los Angeles, CA, USA

    Bruce McLucas

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© 2013 Springer Berlin Heidelberg

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Magos, A., Tsibanakos, I. (2013). Myomectomy Techniques. In: Reidy, J., Hacking, N., McLucas, B. (eds) Radiological Interventions in Obstetrics and Gynaecology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2013_822

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  • DOI: https://doi.org/10.1007/174_2013_822

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-27974-4

  • Online ISBN: 978-3-642-27975-1

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