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Study of Factors of Affecting Recurrence of Myoma after MyomectomyWang, Lu 06 August 2007 (has links)
This study is performed to evaluate the factors associated with the recurrence of myoma after Myomectomy. Identifying the factors of myoma recurrence will assist the patient and her gynecologist in deciding the most appropriate method of treatment according to her specific social, medical and emotional needs. Multiple logistic regression is used to determine the factors affecting the recurrence. 'Age of Surgery', 'Tumor Size', 'Pelvic Pain' and the interaction between the 'Age of Surgery' and 'Tumor Size' are significant in the final model. Kaplan-Meier method is used to calculate the cumulative recurrence rate. The 5 year cumulative recurrence rate is 24.32% and the 10 year cumulative recurrence rate is 32.57%.
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Myomectomy: a retrospective analysis of myomectomies conducted at Brigham and Women's Hospital from 2009-2012Anand, Natasha 22 January 2016 (has links)
BACKGROUND: Uterine fibroids affect a quarter of the female population. The advent of minimally invasive gynecological surgery has revolutionized fibroid removal. The aims of this study were to analyze the variables correlated to myomectomies and establish predictive variable models.
METHODS: From 2007 to 2009, 966 patients underwent myomectomy. 30 variables surrounding the myomectomies were analyzed. All variables were transformed into categorical variable and analyzed for normal distribution. The variables were cross-tabulated and analyzed for correlation using a Pearson Chi-Square statistic. Correlated variables underwent multinomial logistic regression analysis to obtain predictive models.
Conclusion: A complete examination of all types of myomectomies support existing relationships between variables and provide novel correlations and predictions.
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Comparative Studies between Robotic Laparoscopic Myomectomy and Abdominal Myomectomy with Factors Affecting Short-Term Surgical OutcomesFomo, Amy N. 01 December 2009 (has links)
The purpose of this study is to compare short-term surgical outcomes of robotic and abdominal myomectomy and to analyze the factors affecting the total operative time, estimated blood loss and length of hospital stay from a retrospective study of a consecutive case series of 122 pa-tients with symptomatic leiomyomata. Wilcoxon, t tests, multiple linear and logistic regressions analyses were performed. Patients in abdominal group had larger number of leiomyomata, larger tumor size and BMI. The operative time was longer in robotic group and was affected by the size and number of tumors, parity and interaction between parity and BMI. Estimated blood loss was lower in robotic group and was affected by the size and number of tumors .The pre-dicted odds of staying one day or less in the hospital for robotic group was 193.5 times the odds for abdominal group and was affected by the size and number of tumors.
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Prevence komplikací v těhotenství po laparoskopické myomektomii / Prevention of complications in pregnancy after laparoscopic myomectomyDavid, Martin January 2009 (has links)
Gynecology and obstetrics monitor many clinical areas, which are very complex and not only medical side of things. Uterine myomatóza between such areas undoubtedly belongs. In the last time monitor several important phenomena occurring at the same time, giving rise to many questions. In recent years we have witnessed not only the rising birth rate but also shift to higher fertility age groups. According to data from 2007 significantly increased the number of pregnancies after twenty-fifthyear of age (> 70%) and rapidly increases the fertility of women between 30 and 34year (35%) [1]. In this age group is also a high incidence of uterine fibroids. We speak a very frequent clinical finding - fibroid is the most commongynecological tumor. It is therefore of considerable morbidity originator. So there is a growing group of women in roughly the same age, at where there is a fibroid, which are planning pregnancy andpregnant more often not. Symptomatic myoma is obviously an indication for its removal through various treatment modalities including surgical therapy. The result is a subgroup of patients who need to predict subsequent course of pregnancy, including mode of delivery, to analyze
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The perceptions of women with fibroids from diverse cultures regarding hysterectomyDzebu, Munyadziwa Jane 30 November 2007 (has links)
The purpose of this study was to explore and describe contributing factors that influence the perceptions of women with fibroids from diverse cultures regarding hysterectomy. The area of research was delimited to issues of hysterectomy among women with fibroid uterus.
The study employed a descriptive explorative method and data were collected by means of structured questionnaires. The study was conducted in one academic referral hospital, over a period of six months. The respondents were the patients with fibroid uterus and the doctors and nurses in the gynaecological units of the hospital. The majority of the patients indicated that they were afraid of undergoing a hysterectomy because of the social stigma associated with this life-saving procedure, such as alienation or marginalization by members of their respective communities. The nursing staff and gynaecologists in the unit emphasized the deep-seated fear of hysterectomy amongst women from diverse cultures.
The study found that women need information about their bodies and how they function. Health education is also needed for women and their communities. Research is needed amongst members of different communities and diverse cultures to voice their perceptions of women undergoing hysterectomy because of ill health. / Health Studies / M.A. (Health studies)
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The perceptions of women with fibroids from diverse cultures regarding hysterectomyDzebu, Munyadziwa Jane 30 November 2007 (has links)
The purpose of this study was to explore and describe contributing factors that influence the perceptions of women with fibroids from diverse cultures regarding hysterectomy. The area of research was delimited to issues of hysterectomy among women with fibroid uterus.
The study employed a descriptive explorative method and data were collected by means of structured questionnaires. The study was conducted in one academic referral hospital, over a period of six months. The respondents were the patients with fibroid uterus and the doctors and nurses in the gynaecological units of the hospital. The majority of the patients indicated that they were afraid of undergoing a hysterectomy because of the social stigma associated with this life-saving procedure, such as alienation or marginalization by members of their respective communities. The nursing staff and gynaecologists in the unit emphasized the deep-seated fear of hysterectomy amongst women from diverse cultures.
The study found that women need information about their bodies and how they function. Health education is also needed for women and their communities. Research is needed amongst members of different communities and diverse cultures to voice their perceptions of women undergoing hysterectomy because of ill health. / Health Studies / M.A. (Health studies)
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