Abstract

In consideration of women's quality of life, the surgery in gynecologic fields is replaced from laparotomy to endoscopic surgery. An operation of uterine leiomyoma is also changing from an abdominal hysterectomy into minimally invasive conservative surgery. The methods include a laparoscopic myomectomy and hysteroscopic myomectomy. Additionally we device and investigate laparoscopic microwave coagulation therapy and MR-guided transcervical microwave coagulation therapy for uterine leiomyoma. Clinically, a therapy should be selected after explaining an indication, a merit, a demerit and a possible complication of the therapy to a patient intelligibly, and having got enough understanding.

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