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Myomectomy: An Alternative to Hysterectomy

Myomectomy: An Alternative to Hysterectomy Abstract Myomectomy is the indicated operation for leiomyomas in both married and single women who desire to preserve their childbearing function. Myomectomy is not a new operation but deserves reemphasis in this day of radical extirpative surgery. The thoughtful gynecologist is well aware of the natural desire of most young women to have children and of the emotional disaster that follows in such individuals if a hysterectomy is done. However, some physicans fail to consider this fact when making a decision regarding the choice of operation, ie, hysterectomy or myomectomy, as the following report of a case illustrates. Report of a Case A 28-year-old married woman (MGH 132-60-79), with a PhD in biochemistry, was working at a research center in another city. At 1 am she awakened because of a pain in the abdomen and went to the emergency ward of a local hospital. There she was given an analgesic, but References 1. Bonney V: On conservation of function in gynecology . J Mount Sinai Hosp NY 14:152-158, 1947. 2. Annual Report of the Dept of Obstetrics and Gynecology , New York Hospital, Cornell Medical Center, 1957, p 51. 3. Annual Report of the Dept of Obstetrics and Gynecology , New York Medical College, Metropolitan Hospital Center, 1965, p 21. 4. Annual Report of the Dept of Obstetrics and Gynecology , College of Medicine, Ohio State University, Columbus, Ohio, 1967, p 30. 5. Annual Report of the Dept of Obstetrics and Gynecology , MacDonald House University Hospitals of Cleveland, Western Reserve University School of Medicine, Cleveland, 1966, p 17. 6. Ingersoll FM: Fertility following myomectomy . Fertil Steril 14:596-602, 1963. 7. Davids AM: The management of fibromyomas in infertility and abortion . Clin Obstet Gynec 2:837-851, 1959.Crossref 8. Stevenson CS: Myomectomy for improvement of fertility . Fertil Steril 15:367-384, 1964. 9. Rubin IC: Uterine fibromyomas and sterility . Clin Obstet Gynec 1:501-518, 1958.Crossref 10. Malone LJ, Ingersoll FM: Myomectomy in infertility , in Behrman SJ, Kistner RW (eds): Progress in Infertility Boston, Little Brown & Co, 1968, pp 115-122. 11. Munnell EW, Martin FW: Abdominal myomectomy, advantages and disadvantages . Amer J Obstet Gynec 62:109-120, 1951. 12. Malone LJ: Recurrence after removal of solitary and multiple myomas . Obstet Gynec 34:200-203, 1969. 13. Dillon TF: Control of blood loss during gynecologic surgery . Obstet Gynec 19:428-435, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Myomectomy: An Alternative to Hysterectomy

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340230023004
Publisher site
See Article on Publisher Site

Abstract

Abstract Myomectomy is the indicated operation for leiomyomas in both married and single women who desire to preserve their childbearing function. Myomectomy is not a new operation but deserves reemphasis in this day of radical extirpative surgery. The thoughtful gynecologist is well aware of the natural desire of most young women to have children and of the emotional disaster that follows in such individuals if a hysterectomy is done. However, some physicans fail to consider this fact when making a decision regarding the choice of operation, ie, hysterectomy or myomectomy, as the following report of a case illustrates. Report of a Case A 28-year-old married woman (MGH 132-60-79), with a PhD in biochemistry, was working at a research center in another city. At 1 am she awakened because of a pain in the abdomen and went to the emergency ward of a local hospital. There she was given an analgesic, but References 1. Bonney V: On conservation of function in gynecology . J Mount Sinai Hosp NY 14:152-158, 1947. 2. Annual Report of the Dept of Obstetrics and Gynecology , New York Hospital, Cornell Medical Center, 1957, p 51. 3. Annual Report of the Dept of Obstetrics and Gynecology , New York Medical College, Metropolitan Hospital Center, 1965, p 21. 4. Annual Report of the Dept of Obstetrics and Gynecology , College of Medicine, Ohio State University, Columbus, Ohio, 1967, p 30. 5. Annual Report of the Dept of Obstetrics and Gynecology , MacDonald House University Hospitals of Cleveland, Western Reserve University School of Medicine, Cleveland, 1966, p 17. 6. Ingersoll FM: Fertility following myomectomy . Fertil Steril 14:596-602, 1963. 7. Davids AM: The management of fibromyomas in infertility and abortion . Clin Obstet Gynec 2:837-851, 1959.Crossref 8. Stevenson CS: Myomectomy for improvement of fertility . Fertil Steril 15:367-384, 1964. 9. Rubin IC: Uterine fibromyomas and sterility . Clin Obstet Gynec 1:501-518, 1958.Crossref 10. Malone LJ, Ingersoll FM: Myomectomy in infertility , in Behrman SJ, Kistner RW (eds): Progress in Infertility Boston, Little Brown & Co, 1968, pp 115-122. 11. Munnell EW, Martin FW: Abdominal myomectomy, advantages and disadvantages . Amer J Obstet Gynec 62:109-120, 1951. 12. Malone LJ: Recurrence after removal of solitary and multiple myomas . Obstet Gynec 34:200-203, 1969. 13. Dillon TF: Control of blood loss during gynecologic surgery . Obstet Gynec 19:428-435, 1962.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1970

References