Endoscopic myomectomy: pro and con
Current approaches to treatment of uterine myoma involve expanding the indications to organ-saving surgery. Selection of operative techniques should be weighted and determined by sizes, location and clinical picture of uterine myoma and expediency of preserving menstrual and reproductive functions. The study analyzes the results of treating 1100 patients who had laparoscopic and laparotomic myomectomy and embolization of uterine arteries (EUA). The incidence of the beginning of pregnancy after laparoscopic myomectomy was 60%, after laparotomic myomectomy - 80.6%, EUA - 23.8%. Regardless of a high efficacy of myomectomy, in view of more frequently appearing reports of uterine ruptures during pregnancy and labor, the choice of an approach and method of treatment should be made with great caution and strictly individually.