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THE MANAGEMENT OF UTERINE LEIOMYOMAS Dr .Ashraf Fouda Egypt - Damietta General Hospital E. mail :  ashraffoda@hotmail.com
S.O.G.C. ( S ociety of  O bstetricians  &  G ynecologists of  C anada)   CLINICAL  PRACTICE GUIDELINES SOURCE: May 2003
 
[object Object]
[object Object],[object Object]
[object Object]
[object Object]
INTRODUCTION ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],INTRODUCTION
[object Object],[object Object],INTRODUCTION
[object Object],INTRODUCTION
[object Object],INTRODUCTION
CLINICAL FEATURES ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],CLINICAL FEATURES
[object Object],[object Object],[object Object],[object Object],[object Object],CLINICAL FEATURES
[object Object],CLINICAL FEATURES
[object Object],CLINICAL FEATURES
EVALUATION ,[object Object]
[object Object],EVALUATION
[object Object],EVALUATION
[object Object],[object Object],EVALUATION
[object Object],EVALUATION
MEDICAL MANAGEMENT ,[object Object]
[object Object],MEDICAL MANAGEMENT
[object Object],MEDICAL MANAGEMENT
[object Object],[object Object],(GnRH) agonists
[object Object],MEDICAL MANAGEMENT
[object Object],[object Object],MEDICAL MANAGEMENT
[object Object],[object Object],MEDICAL MANAGEMENT
SURGICAL MANAGEMENT
HYSTERECTOMY ,[object Object],[object Object],[object Object]
[object Object],HYSTERECTOMY
[object Object],HYSTERECTOMY
[object Object],HYSTERECTOMY
[object Object],[object Object],HYSTERECTOMY
[object Object],HYSTERECTOMY
[object Object],HYSTERECTOMY
CONSERVATIVE SURGICAL THERAPIES
[object Object],[object Object],[object Object],MYOMECTOMY THROUGH  A LAPAROTOMY INCISION
[object Object],[object Object],[object Object],MYOMECTOMY THROUGH  A LAPAROTOMY INCISION
[object Object],[object Object],MYOMECTOMY THROUGH  A LAPAROTOMY INCISION
LAPAROSCOPIC MYOMECTOMY ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],[object Object],[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
[object Object],[object Object],LAPAROSCOPIC MYOMECTOMY
HYSTEROSCOPIC MYOMECTOMY ,[object Object]
[object Object],[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],[object Object],[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],[object Object],HYSTEROSCOPIC MYOMECTOMY
[object Object],HYSTEROSCOPIC MYOMECTOMY
LAPAROSCOPIC MYOLYSIS ,[object Object]
[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],[object Object],[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
[object Object],[object Object],LAPAROSCOPIC MYOLYSIS
SELECTIVE UTERINE ARTERY OCCLUSION ,[object Object]
[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
[object Object],[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
[object Object],[object Object],[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
[object Object],[object Object],SELECTIVE UTERINE ARTERY OCCLUSION
PERIOPERATIVE RISKS AND COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST–UTERINE ARTERY OCCLUSION SIDE EFFECTS AND COMPLICATIONS
[object Object],Early or Acute Abdominal Pelvic Pain
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Early or Acute Abdominal Pelvic Pain
[object Object],Early or Acute Abdominal Pelvic Pain
Post embolization Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Post embolization Syndrome
Infection ,[object Object],[object Object],[object Object]
[object Object],Infection
[object Object],Infection
Persistent or Chronic Pain ,[object Object],[object Object],[object Object]
Ovarian Dysfunction ,[object Object]
[object Object],[object Object],Ovarian Dysfunction
Menstrual Dysfunction ,[object Object]
[object Object],[object Object],Menstrual Dysfunction
Transcervical Myoma Expulsion ,[object Object],[object Object]
Uterine Wall Integrity ,[object Object],[object Object]
[object Object],Uterine Wall Integrity
Hysterectomy ,[object Object]
[object Object],Hysterectomy
Mortality ,[object Object],[object Object]
[object Object],[object Object],Mortality
SPECIAL CONSIDERATIONS
FIBROIDS AND INFERTILITY ,[object Object],[object Object]
[object Object],FIBROIDS AND INFERTILITY
[object Object],[object Object],FIBROIDS AND INFERTILITY
[object Object],FIBROIDS AND INFERTILITY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FIBROIDS AND INFERTILITY
[object Object],[object Object],FIBROIDS AND INFERTILITY
FIBROIDS AND PREGNANCY ,[object Object],[object Object]
[object Object],[object Object],FIBROIDS AND PREGNANCY
[object Object],[object Object],[object Object],[object Object],FIBROIDS AND PREGNANCY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FIBROIDS AND PREGNANCY
[object Object],[object Object],[object Object],[object Object],FIBROIDS AND PREGNANCY
[object Object],[object Object],[object Object],[object Object],[object Object],FIBROIDS AND PREGNANCY
[object Object],FIBROIDS AND PREGNANCY
[object Object],[object Object],FIBROIDS AND PREGNANCY
ACUTE BLEEDING ,[object Object]
[object Object],[object Object],ACUTE BLEEDING
[object Object],ACUTE BLEEDING
[object Object],ACUTE BLEEDING
[object Object],[object Object],ACUTE BLEEDING
FIBROIDS IN MENOPAUSE ,[object Object]
[object Object],[object Object],Effect of HRT on fibroids in postmenopausal women.
FIBROIDS AND UTERINE LEIOMYOSARCOMAS ,[object Object],[object Object]
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
[object Object],FIBROIDS AND UTERINE LEIOMYOSARCOMAS
Recommendations: ,[object Object],[object Object],(III-C)
[object Object],Recommendations (II-A)
[object Object],Recommendations (II-B)
[object Object],Recommendations (II-B)
[object Object],Recommendations (I-B)
[object Object],Recommendations: (II-B)
[object Object],Recommendations: (I-C)
[object Object],[object Object],[object Object],Recommendations: (III-C)
[object Object],Recommendations: (III-C)
[object Object],Recommendations: (III-C)
[object Object],Recommendations: (III-C)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Recommendations: (III-C)
[object Object],[object Object],Recommendations: (II-B)
[object Object],Recommendations: (III-C)
CONCLUSION ,[object Object],[object Object]
[object Object],CONCLUSION
[object Object],CONCLUSION
Thank you

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leiomyomas

  • 1. THE MANAGEMENT OF UTERINE LEIOMYOMAS Dr .Ashraf Fouda Egypt - Damietta General Hospital E. mail : ashraffoda@hotmail.com
  • 2. S.O.G.C. ( S ociety of O bstetricians & G ynecologists of C anada) CLINICAL PRACTICE GUIDELINES SOURCE: May 2003
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  • 157.