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Neurovascular bundle in fibroid pseudocapsule and its neuroendocrinologic implications.
Mettler, Liselotte; Tinelli, Andrea; Hurst, Brad S; Teigland, Chris M; Sammur, Wael; Dell'edera, Domenico; Negro, Roberto; Gustapane, Sara; Malvasi, Antonio.
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  • Mettler L; a Kiel School of Gynaecological Endoscopy, Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany.
  • Tinelli A; b Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, Lecce, Italy. andreatinelli@gmail.com.
  • Hurst BS; c Assisted Reproduction Center, Carolinas Medical Center, Charlotte, NC 28203, USA.
  • Teigland CM; d Department of Urology, Carolinas Medical Center, Charlotte, NC 28203, USA.
  • Sammur W; e Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC 28203, USA.
  • Dell'edera D; f Department of Obstetrics and Gynecology, German Medical Centre, DHCC, Dubai, United Arab Emirates.
  • Negro R; g Unit of Cytogenetic and Molecular Genetics, Madonna delle Grazie Hospital, Matera, Italy.
  • Gustapane S; h Department of Endocrinology, Vito Fazzi Hospital, Lecce, Italy.
  • Malvasi A; i Department of Obstetrics and Gynaecology, SS. Annunziata Hospital, Chieti, Italy.
Expert Rev Endocrinol Metab ; 6(5): 715-722, 2011 Sep.
Article en En | MEDLINE | ID: mdl-30780878
The myoma pseudocapsule is a surgical-anatomical entity surrounding the fibroid that separates the myoma from normal uterine tissue. The myoma pseudocapsule has a delicate vascular network rich with neurotransmitters analogous to the neurovascular bundle surrounding the prostate. The pseudocapsule neurovascular bundle is extremely important during myomectomy to promote uterine myometrial healing and, consequently, for uterine reproductive function. New advancements in surgery, including the use of laparoscopic myomectomy by an intracapsular technique and magnification of the myoma pseudocapsule to enhance visualization are comparable to the dissection during a radical prostatectomy. Fibroid detachment occurring inside the pseudocapsule causes less bleeding, spares the neurovascular bundle and promotes better uterine healing. The maintenance of myometrial integrity after laparoscopic myomectomy maintains uterine function and therefore improves reproductive outcomes, including labor.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Expert Rev Endocrinol Metab Año: 2011 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Expert Rev Endocrinol Metab Año: 2011 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido