Neodymium: YAG laser hysteroscopy in large submucous fibroids.
(1990) Fertility and sterility — Vol. 54, n° 6, p. 999-1003 (1990)
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- Abstract
- The preoperative use of a potent, subcutaneously injected gonadotropin-releasing hormone agonist (GnRH-a) was evaluated in a series of 60 women with large submucosal fibroids. Myomectomy by hysteroscopy and Nd:YAG laser was easily performed. In 12 cases, the largest portion of the myoma was not inside the uterine cavity and myomectomy was carried by a two-step hysteroscopy. In women who wished to become pregnant, a pregnancy rate of 66% was achieved. Advantages of preoperative use of a GnRH-a are (1) the significant decrease of the fibroid size, (2) a lower fluid absorption, and (3) the restoration of a normal hemoglobin concentration.
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Citations
Donnez, J., Gillerot, S., Bourgonjon, D., Clerckx, F., & Nisolle, M. (1990). Neodymium: YAG laser hysteroscopy in large submucous fibroids. Fertility and sterility, 54(6), 999-1003. https://hdl.handle.net/2078.5/52715 (Original work published 1990)