Neodymium: YAG laser hysteroscopy in large submucous fibroids.

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.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Donnez J,Gillerot S,Bourgonjon D,Clerckx F,Nisolle M

doi

10.1016/s0015-0282(16)53994-6

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

999-1003

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)53994-6

journal_volume

54

pub_type

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