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01 February 2016, Volume 32 Issue 2 Previous Issue    Next Issue

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Hysteroscopic surgery in the treatment of submucosal myoma. DUAN Hua. 2016, 32(2): 123-126.  DOI: 10.7504/fk2016010103 Abstract ( )   Abstract:Submucosal myoma is the main gynecological disease, which urges women at reproductive age to seek clinical treatment, because it is more likely to affect women's menstrual cycle and pregnancy due to its special growth pattern. With the development of endoscopic techniques, transcervical resection of myoma (TCRM) has replaced traditional laparotomy and laparoscopic surgery, and has become the standard treatment method for submucous myoma. A comprehensive understanding of submucosal myoma, and accurate grasp of the indications, perioperative management principles and surgical skills of TCRM are the keys to ensure the safety and success of the surgery. This paper focuses on the classification ofsubmucous myoma, the indications of TCRM, perioperative preparation, surgery steps and skills, treatment effects and operation notes of TCRM.

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Management of uterine leiomyomas in perimenopausal women. YE Ming-zhu，DENG Xin-liang，XUE Min. 2016, 32(2): 126-131.  DOI: 10.7504/fk2016010104 Abstract ( )   Abstract:Uterine leiomyomas are the most common benign tumor of female reproductive organs，and they are more likely to be found in perimenopausal women.Because of the unique physiological characteristics of female perimenopausal period，the management of uterine leiomyomas in perimenopausal women also has special strategies.This article summarized the clinical and pathologic features of uterine leiomyomas，and the physiological characteristics of perimenopausal women，and introduced the different treatments for leiomyomas and stategies to make a reasonable choice.

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Pregnancy outcome of patients with multiple uterine fibroids treated with high intensity focused ultrasound. ZOU Min, XIONG Yu, WANG Lian, WANG Zhi-biao. 2016, 32(2): 132-135.  DOI: 10.7504/fk2016010105 Abstract ( )   Abstract：Studies have shown that 5%-10% of the patients with infertility are related to uterine fibroids. Except infertility, fibroids are also associated with adverse pregnancy outcomes. Patients with multiple uterine fibroids account for 50% of patients with uterine fibroids. Multiple uterine fibroids are often more likely to cause symptoms than solitary uterine fibroid and symptoms are more severe, and the impact on fertility is also greater. Myomectomy is the treatment of choice for patients with uterine fibroids who wish to have babies. However, since the patients have multiple fibroids, removing all the fibroids will cause major injury to the uterus and a long recovery time is needed. As a non-invasive treatment modality, high intensity focused ultrasound (HIFU) can be used to treat patients with multiple uterine fibroids who wish to have babies. This non-invasive treatment can minimize the harm to the uterus, and shorten the recovery time for pregnancy.

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Treatment for uterine myoma and its relationship with pregnancy. ZHANG Ying，HUA Ke-qin. 2016, 32(2): 135-139.  DOI: 10.7504/fk2016010106 Abstract ( )   Abstract:Uterine myoma is the most common benign solid tumor of the genital system in females，and is diagnosed in 20%-50% of women during their reproductive ages.Uterine myoma is closely related to infertility and abortion.Different treatment may have different effects on pregnancy thereafter.Controversies exist mainly in treatment，operative indication and intervals after surgery.We summarized literature about different treatment for myoma and its relationship with pregnancy.

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Digital three-dimensional imaging and uterine artery embolization for fibroids. CHEN Chun-lin, DUAN Hui. 2016, 32(2): 139-145.  DOI: 10.7504/fk2016010107 Abstract ( )   Abstract：Uterine artery embolization is one of the most common method to treat uterine fibroids. It is minimal technology and can gain effect exactly. It is welcome by the patients with uterine myoma who require to retain their uterus. However, this surgery still effects poorly in 10% patients and has fewer complications. To improve efficacy and reduce the incidence of complications, screening appropriate cases, assessing the feasibility of surgery and the prognosis preoperative are the key. Digital three-dimensional technology can reproduce individual vascular anatomy of the patients through reconstructing imaging data. Then it can provide the foundation for UAE operations with 3D models. It is a new method to solve the above problems.

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High intensity focused ultrasound (HIFU) for submucosal fibroids. HE Jia. 2016, 32(2): 145-148.  DOI: 10.7504/fk2016010108 Abstract ( )   Abstract：Uterine fibroid is the most common tumor in female reproductive system of childbearing age,in which 10%～15% is submucous fibroid. Treatments for uterine submucous fibroid include traditional laparotomy, hysteroscopy,laparoscopy, uterine artery embolization and ultrasonic ablation,etc. Each treatment has its unique indications and contraindications. Beacause ultrasonic ablation treatment has the advantages of non-invasiveness and precise control, it is more and more used in the treatment of submucous myoma.

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Discussion on indications and surgical skills of laparoscopic myomectomy. WANG Ying-hong. 2016, 32(2): 148-150.  DOI: 10.7504/fk2016010109 Abstract ( )   Abstract: Laparoscopic myomectomy has increasingly become the major surgical procedure for uterine leiomyoma because it is minimally invasive and can keep integrity of female organs. This article reviews its indications,contraindications, and surgical options and skills.

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Diagnosis and treatment strategy of uterine myoma in special parts. HAO Min，CHENG Ke-yan，ZHAO Wei-hong. 2016, 32(2): 151-154.  DOI: 10.7504/fk2016010110 Abstract ( )   Abstract:This paper discussed cervical and broad ligament myoma to introduce uterine myoma in special parts, and described the characteristics including atypical clinical symptoms, indefinite preoperative diagnosis and more difficult operation procedures compared with myoma in uterine body. We focusd on pathogenetic, anatomical features and main points of auxiliary diagnosis, and advised the preoperative assessment and preparation should be valued. In addition, we also introduced intraoperative treatment strategy, surgical points and intraoperative considerations.

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Uterine fibroids sarcomatous change and prevention of its spreading in laparoscopic morcellation. ZHAO Wei-dong, ZHOU Hu. 2016, 32(2): 155-158.  DOI: 10.7504/fk2016010111 Abstract ( )   Abstact：Uterine fibroids are clinical common, but uterine sarcoma and uterine fibroids sarcomatous change are rare, malignant mesenchymal tumors of the uterus. Uterine sarcomas is considered an aggressive tumor associated with poor prognosis, with a low five-year survival rate. there is no reliable method for predicting whether a woman with fibroids may have a uterine sarcoma. Patient where morcellation is considered that their fibroid(s) may contain unexpected cancerous tissue and that laparoscopic power morcellation may spread the cancer, significantly worsening their prognosis. So how to identify early diagnosis and intraoperative how to avoid the spread of rotary cutting bring becomes the key to treatment.This pictorial review aims to discuss the clinical features of uterine fibroid and uterine sarcomas, as well as their most common appearances and distinct characteristics. Prospective data collection may clarify the issue on sarcoma risk in presumed fibroids and technology to extract tissue laparoscopically from the abdominal cavity should be perfected.