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Intratissue laser thermotherapy in treatment of uterine myomata
Selected Scientific Abstracts
Intratissue Laser Thermotherapy in Treatment of
48 hours. No patients experienced pain requiring narcotics, and no infections occurred. Five women conceived, one after IVF-ET, two with intrauterine inseminations, and two spontaneously. In those who did not conceive, the cervix was easily cannulated after the procedure. Cervical dilatation may provide options for treatment that would otherwise not be available to a select group of infertile women with cervical stenosis.
Uterine Myomata V Zaporozhan. Odessa Medical University, Odessa, Ukraine.
In 15 women with uterine bleeding, 6 with infertility, and 3 with unsuccessful pregnancy, uterine myomata with subserous-interstitial position were verified by ultrasonography and hysteroscopy. In all patients the diameter of the myoma did not exceed 20 mm. Intratissue neodymium:yttrium-aluminum-garnet laser thermotherapy was performed. A fiber with even circumferential distribution of radiation over the whole tip surface was used. Hemostasis was achieved in all patients and followed for not less than 3 months. Ultrasonography 1, 2, and 3 months postoperatively showed a decrease in the formation volume compared with baseline (p <0.050). Three women conceived within 6 months of the procedure.
Correlation between Ultrasonographic Findings and Laparoscopic Appearance in Patients with Laparoscopically Treated Ovarian Cysts E Zupi, O Marconi, K Santi, E Solima, D Arduini, C Romanini. Department of Obstetrics and Gynecology, "Tor Vergata" University of Rome, Rome, Italy.
We performed laparoscopy in 96 women (64 age <40 yrs, 22 > 40 yrs) with a diagnosis of ovarian cyst. The size and morphology of each mass were established, and color flow Doppler characteristics were determined by ultrasonography. Laparoscopically we evaluated the external and internal surfaces and vascularization. The laparoscopic appearance confirmed the ultrasonographic findings in 85% of women.
Fluoroscopically Guided Cervical Dilatation in Patients with Infertility TG Zreik, KW Dickey, DL Keefe, MG Glickman, DL Olive. Yale University School of Medicine, Departments of Obstetrics and Gynecology and Diagnostic Radiology, New Haven, CT.
Microlaparoscopy E Zupi, D Marconi, E Solima, K Santi, C Romanini. Department of Obstetrics and Gynecology, "Tor Vergata" University of Rome, Rome, Italy.
Uterine cervical stenosis of either congenital or acquired etiology is a contributing factor in fertility. In such patients it is technically difficult to traverse the tortuous or stenotic cervical canal, precluding diagnostic procedures such as endometrial biopsy and hysterosalpingography, as well as therapies such as in vitro fertilization and embryo transfer (IVF-ET) or insemination. The standard method of dilatation with successively larger dilators may be difficult and traumatic, causing false channels or perforation of the uterus. Fifteen patients were referred for cervical dilatation because of inability to gain access to the uterine lumen. Under fluoroscopic guidance, the cervix was cannulated and the endocervical canal dilated with an angioplasty balloon. Five women had simultaneous fallopian tube recanalization. Only one woman had mild postoperative vaginal bleeding that subsided spontaneously at
Seventy-five women underwent diagnostic office laparoscopy under local anesthesia using a 1.9-mm microlaparoscope. Indications were infertility (40), pelvic pain (25), and uterine malformation (septate or bicornuate uterus) (10). All women tolerated the procedure well. In only two we could not evaluate the pelvic organs because of severe adhesions. Visualization of the pelvic organs was reasonable, although the size of the video image was smaller than the one obtained by laparoscopy. Operating time was 10 to 20 minutes. We believe that this is a safe, simple, effective, fast, and inexpensive way to evaluate pelvic disease and to obtain histologic samples.
$56
Intratissue Laser Thermotherapy in Treatment of
48 hours. No patients experienced pain requiring narcotics, and no infections occurred. Five women conceived, one after IVF-ET, two with intrauterine inseminations, and two spontaneously. In those who did not conceive, the cervix was easily cannulated after the procedure. Cervical dilatation may provide options for treatment that would otherwise not be available to a select group of infertile women with cervical stenosis.
Uterine Myomata V Zaporozhan. Odessa Medical University, Odessa, Ukraine.
In 15 women with uterine bleeding, 6 with infertility, and 3 with unsuccessful pregnancy, uterine myomata with subserous-interstitial position were verified by ultrasonography and hysteroscopy. In all patients the diameter of the myoma did not exceed 20 mm. Intratissue neodymium:yttrium-aluminum-garnet laser thermotherapy was performed. A fiber with even circumferential distribution of radiation over the whole tip surface was used. Hemostasis was achieved in all patients and followed for not less than 3 months. Ultrasonography 1, 2, and 3 months postoperatively showed a decrease in the formation volume compared with baseline (p <0.050). Three women conceived within 6 months of the procedure.
Correlation between Ultrasonographic Findings and Laparoscopic Appearance in Patients with Laparoscopically Treated Ovarian Cysts E Zupi, O Marconi, K Santi, E Solima, D Arduini, C Romanini. Department of Obstetrics and Gynecology, "Tor Vergata" University of Rome, Rome, Italy.
We performed laparoscopy in 96 women (64 age <40 yrs, 22 > 40 yrs) with a diagnosis of ovarian cyst. The size and morphology of each mass were established, and color flow Doppler characteristics were determined by ultrasonography. Laparoscopically we evaluated the external and internal surfaces and vascularization. The laparoscopic appearance confirmed the ultrasonographic findings in 85% of women.
Fluoroscopically Guided Cervical Dilatation in Patients with Infertility TG Zreik, KW Dickey, DL Keefe, MG Glickman, DL Olive. Yale University School of Medicine, Departments of Obstetrics and Gynecology and Diagnostic Radiology, New Haven, CT.
Microlaparoscopy E Zupi, D Marconi, E Solima, K Santi, C Romanini. Department of Obstetrics and Gynecology, "Tor Vergata" University of Rome, Rome, Italy.
Uterine cervical stenosis of either congenital or acquired etiology is a contributing factor in fertility. In such patients it is technically difficult to traverse the tortuous or stenotic cervical canal, precluding diagnostic procedures such as endometrial biopsy and hysterosalpingography, as well as therapies such as in vitro fertilization and embryo transfer (IVF-ET) or insemination. The standard method of dilatation with successively larger dilators may be difficult and traumatic, causing false channels or perforation of the uterus. Fifteen patients were referred for cervical dilatation because of inability to gain access to the uterine lumen. Under fluoroscopic guidance, the cervix was cannulated and the endocervical canal dilated with an angioplasty balloon. Five women had simultaneous fallopian tube recanalization. Only one woman had mild postoperative vaginal bleeding that subsided spontaneously at
Seventy-five women underwent diagnostic office laparoscopy under local anesthesia using a 1.9-mm microlaparoscope. Indications were infertility (40), pelvic pain (25), and uterine malformation (septate or bicornuate uterus) (10). All women tolerated the procedure well. In only two we could not evaluate the pelvic organs because of severe adhesions. Visualization of the pelvic organs was reasonable, although the size of the video image was smaller than the one obtained by laparoscopy. Operating time was 10 to 20 minutes. We believe that this is a safe, simple, effective, fast, and inexpensive way to evaluate pelvic disease and to obtain histologic samples.
$56