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Surgical Endoscopy
Published in: Surgical Endoscopy 12/2004

01-12-2004 | Original article

Laparoscopic cryomyolysis: An alternative to myomectomy in women with symptomatic fibroids

Authors: A. Ciavattini, D. Tsiroglou, M. Piccioni, F. Lugnani, P. Litta, F. Feliciotti, A. L. Tranquilli

Published in: Surgical Endoscopy | Issue 12/2004

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Abstract

Background

The purpose of this study was to determine whether cryomyolysis may present an alternative valid surgical procedure to hysterectomy or myomectomy for selected women with symptomatic fibroids who wish to preserve their uterus but do not desire future pregnancies.

Methods

Sixty-three women with symptomatic fibroids who refused either myomectomy or hysterectomy, requesting a conservative surgery for myomata, underwent laparoscopic cryomyolysis using a 3- to 5-mm or 8-mm cryoprobe (CRYOcare system).

Results

Our study showed a mean (±standard deviation) decrease of myoma volume of 60.3% (±20.7) and complete symptom relief in 83.6% (p < 0.001) of patients after a 12-month follow-up from cryomyolysis. No significant intra- or postoperative complications were noted.

Conclusion

Cryomyolysis is an effective laparoscopic procedure for obtaining myoma shrinkage and symptom relief in women with symptomatic fibroids who desire to preserve their uterus.
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Metadata
Title
Laparoscopic cryomyolysis: An alternative to myomectomy in women with symptomatic fibroids
Authors
A. Ciavattini
D. Tsiroglou
M. Piccioni
F. Lugnani
P. Litta
F. Feliciotti
A. L. Tranquilli
Publication date
01-12-2004
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 12/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9212-8

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