prikaz prve stranice dokumenta Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women
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Scientific paper - Review paper
Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women
Archives of Gynecology and Obstetrics, 309 (2024), 3; 949-959. https://doi.org/10.1007/s00404-023-07218-y
Vitale, Salvatore Giovanni; Saponara, Stefania; Sicilia, Gilda; Klarić, Marko; Sorrentino, Felice; D’Alterio, Maurizio Nicola; Nappi, Luigi; Angioni, Stefano

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Vitale, S. G., Saponara, S., Sicilia, G., Klarić, M., Sorrentino, F., D’Alterio, M. N. ... Angioni, S. (2024). Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women. Archives of Gynecology and Obstetrics, 309. (3), 949-959. doi: 10.1007/s00404-023-07218-y

Vitale, Salvatore Giovanni, et al. "Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women." Archives of Gynecology and Obstetrics, vol. 309, no. 3, 2024, pp. 949-959. https://doi.org/10.1007/s00404-023-07218-y

Vitale, Salvatore Giovanni, Stefania Saponara, Gilda Sicilia, Marko Klarić, Felice Sorrentino, Maurizio Nicola D’Alterio, Luigi Nappi and Stefano Angioni. "Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women." Archives of Gynecology and Obstetrics 309, no. 3 (2024): 949-959. https://doi.org/10.1007/s00404-023-07218-y

Vitale, S. G., et al. (2024) 'Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women', Archives of Gynecology and Obstetrics, 309(3), pp. 949-959. doi: 10.1007/s00404-023-07218-y

Vitale SG, Saponara S, Sicilia G, Klarić M, Sorrentino F, D’Alterio MN, and sur.. Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women. Archives of Gynecology and Obstetrics [Internet]. 2024 October 13 [cited 2024 May 19];309(3):949-959. doi: 10.1007/s00404-023-07218-y

S. G. Vitale, et al., "Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women", Archives of Gynecology and Obstetrics, vol. 309, no. 3, pp. 949-959, October 2024. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:280945. [Accessed: 19 May 2024]

Metadata
Title (english)Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women
AuthorSalvatore Giovanni Vitale
AuthorStefania Saponara
AuthorGilda Sicilia
AuthorMarko Klarić
AuthorFelice Sorrentino
AuthorMaurizio Nicola D’Alterio
AuthorLuigi Nappi
AuthorStefano Angioni
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
Purpose: This case series examined the safety and effectiveness of hysteroscopic myolysis using laser-induced interstitial thermo-therapy (LITT) for treating heavy menstrual bleeding (HMB) in premenopausal women with FIGO type 1 or 2 uterine fibroids, not planning for future fertility. Additionally, a comprehensive review of innovative, minimally invasive, incisionless myolysis techniques was conducted. Methods: Women with HMB, sonographically diagnosed with a single FIGO type 1 or 2 fibroid, underwent hysteroscopic myolysis using the Leonardo® diode laser. Effectiveness was assessed via transvaginal ultrasound measurement of myoma size, volume and vascularization pre and post-procedure. Moreover, we also evaluated any improvements in symptoms using the Pictorial Blood Loss Assessment Chart (PBAC score) scores. Results: The procedure resulted in significant HMB reductions and noticeable fibroid size, volume, and vascularization decrease in all three patients, with no reported complications. The literature review revealed both advantages and limitations of the minimally invasive, incisionless myolysis techniques. Conclusions: Hysteroscopic laser myolysis is a safe and effective therapeutic intervention for patients experiencing HMB, diagnosed with FIGO type 1 or 2 fibroids, and not planning for future fertility. The procedure resulted in significant reductions in menstrual blood loss and fibroid size. Despite the promising results, it is essential to note the limitations of this report, including its case series design, a small number of patients, and a short follow-up period. Further research is necessary to confirm these results.
Keywords (english)
Languageenglish
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleArchives of Gynecology and Obstetrics
Numberingvol. 309, no. 3, pp. 949-959
e-ISSN1432-0711
DOIhttps://doi.org/10.1007/s00404-023-07218-y
URN:NBNurn:nbn:hr:184:280945
Publication2024-10-13
Document URLhttps://link.springer.com/10.1007/s00404-023-07218-y
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2024-02-20 12:37:15