Donnez, Jacques
[UCL]
Gillerot, S.
[UCL]
Bourgonjon, Damien
[UCL]
Clerckx, F.
[UCL]
Nisolle, Michelle
[UCL]
The preoperative use of a potent, subcutaneously injected gonadotropin-releasing hormone agonist (GnRH-a) was evaluated in a series of 60 women with large submucosal fibroids. Myomectomy by hysteroscopy and Nd:YAG laser was easily performed. In 12 cases, the largest portion of the myoma was not inside the uterine cavity and myomectomy was carried by a two-step hysteroscopy. In women who wished to become pregnant, a pregnancy rate of 66% was achieved. Advantages of preoperative use of a GnRH-a are (1) the significant decrease of the fibroid size, (2) a lower fluid absorption, and (3) the restoration of a normal hemoglobin concentration.
Bibliographic reference |
Donnez, Jacques ; Gillerot, S. ; Bourgonjon, Damien ; Clerckx, F. ; Nisolle, Michelle. Neodymium: YAG laser hysteroscopy in large submucous fibroids.. In: Fertility and sterility, Vol. 54, no. 6, p. 999-1003 (1990) |
Permanent URL |
http://hdl.handle.net/2078.1/13764 |