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Obstetrics and Gynecology International
Volume 2012 (2012), Article ID 791248, 8 pages
http://dx.doi.org/10.1155/2012/791248
Research Article

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Department of Obstetrics and Gynaecology, University Hospital Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany

Received 15 November 2011; Revised 18 January 2012; Accepted 8 February 2012

Academic Editor: Giovanni Scambia

Copyright © 2012 Liselotte Mettler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from dysuria and constipation to chronic bladder and bowel spasms. Very seldom does peritonitis occur. Infertility may result from continuous metro and menorrhagia. The difficulty of the laparoscopic and hysteroscopic myomectomy lies in achieving satisfactory haemostasis using the appropriate sutures. The hysteroscopic myomectomy requires an operative hysteroscope and a well-experienced gynaecologic surgeon.