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Diagnostic and Therapeutic Endoscopy
Volume 2, Issue 3, Pages 129-134
http://dx.doi.org/10.1155/DTE.2.129

New Strategies for Treating Myomas

1Melbourne Gynoscopy Centre, Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia
2Endosurgical Unit, Mercy Hospital for Women, Melbourne, Victoria, Australia
3The Melbourne Gynescopy Centre, 284 High St., Asburton, Victoria 3147, Australia

Received 28 June 1995; Accepted 7 August 1995

Copyright © 1996 Hindawi Publishing Corporation. 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

Laparoscopic minilaparotomy in 6 patients using the Maher abdominal elevator facilitated both quicker enucleation and morcellation of the myoma and suture of the myoma cavity. Myoma reduction in 12 patients by electrosurgery resulted in a 60% reduction in myoma diameter with failure in 2 patients. This technique may avoid myomectomy and be particularly useful in patients with infertility or near menopause.