Journal of the European Society for Gynaecological Endoscopy

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European Society for Gynaecological Endoscopy (ESGE) Good Practice Recommendations on surgical techniques for removal of fibroids: part 1 abdominal (laparoscopic and open) myomectomy

E. Saridogan1, L. Antoun2, E.V.A. Bouwsma3, T.J. Clark2, A. Di Spiezio Sardo4, J. Huirne5, T.S. Walker6, V. Tanos7. On behalf of the European Society for Gynaecological Endoscopy Uterine Fibroids Working Group

1 Elizabeth Garrett Anderson Institute for Women’s Health, University College London and University College London Hospital, United Kingdom
2 Birmingham Women’s & Children’s Hospital, University of Birmingham, United Kingdom;
3 Department of Obstetrics & Gynecology, St. Antonius Hospital, The Netherlands
4 Obstetrics and Gynaecology Department, Università degli Studi di Napoli “Federico II”, Italy
5 Department of Obstetrics & Gynaecology, Amsterdam University Medical Center and Amsterdam Reproduction and Development Research Institute, The Netherlands
6 Gynaecology Department, Royal Cornwall Hospital, United Kingdom
7 Department of Basic and Clinical Science, University of Nicosia Medical School and Aretaeio Hospital, Cyprus.


Published online: Sep 30 2024

https://doi.org/10.52054/FVVO.16.3.041

Abstract

Uterine fibroids are the most common benign tumours of the female reproductive tract and can cause a range of symptoms including abnormal uterine bleeding, pain, pressure symptoms and subfertility. Surgery may be required for some symptomatic fibroids via abdominal or transvaginal routes. The European Society for Gynaecological Endoscopy Uterine Fibroids Working Group developed recommendations based on the best available evidence and expert opinion for the surgical treatment of uterine fibroids. In this first part of the recommendations, abdominal approaches to surgical treatment of fibroids including laparoscopic, robot- assisted and open myomectomy are described.