Fertility-Preserving Laparoscopic Surgery for Uterine Arteriovenous Malformation After Failed Uterine Artery Embolization

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.123

A Matthaeus , S Dudhat , G Janik

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引用次数: 0

Abstract

Study Objective

Novel laparoscopic approach to management of arteriovenous (AV) malformation that preserves fertility.

Design

Case study.

Setting

Reproductive surgery program within reproductive medicine clinic and OR equipped for minimally invasive surgery.

Patients or Participants

One patient with AV malformation and three failed uterine artery embolizations (UAE).

Interventions

Laparoscopy and hysteroscopy with ultrasound guidance used to remove AV malformation and uterine reconstruction in patient with previously failed UAE x3.

Measurements and Main Results

Resolution of menorrhagia and three successful pregnancies delivered by C-section at 37 weeks.

Conclusion

Laparoscopic resection of AV malformation with ultrasound guidance is an effective management for AV malformation in patients desiring future pregnancy.

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子宫动脉栓塞术失败后的子宫动静脉畸形保胎腹腔镜手术

患者或参与者1例动静脉畸形患者，子宫动脉栓塞术（UAE）3次失败。干预措施在超声引导下使用腹腔镜和宫腔镜切除房室畸形，并为之前三次UAE失败的患者重建子宫。测量指标和主要结果月经失调得到缓解，三次妊娠均在37周时通过剖腹产成功分娩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.