Surgical Methods for the Treatment of Uterine Fibroids - Risk of Uterine Sarcoma and Problems of Morcellation: Position Paper of the DGGG

Geburtshilfe und Frauenheilkunde
M W BeckmannD Wallwiener

Abstract

The appropriate surgical technique to treat patients with uterine fibroids is still a matter of debate as is the potential risk of incorrect treatment if histological examination detects a uterine sarcoma instead of uterine fibroids. The published epidemiology for uterine sarcoma is set against the incidence of accidental findings during surgery for uterine fibroids. International comments on this topic are discussed and are incorporated into the assessment by the German Society for Gynecology and Obstetrics (DGGG). The ICD-O-3 version of 2003 was used for the anatomical and topographical coding of uterine sarcomas, and the "Operations- und Prozedurenschlüssel" (OPS) 2014, the German standard for process codes and interventions, was used to determine surgical extirpation methods. Categorical qualifiers were defined to analyze the data provided by the Robert Koch Institute (RKI), the German Federal Bureau of Statistics (DESTATIS; Hospital and Causes of Death Statistics), the population-based Cancer Register of Bavaria. A systematic search was done of the MEDLINE database and the Cochrane collaboration, covering the period from 1966 until November 2014. The incidence of uterine sarcoma and uterine fibroids in uterine surgery was ...Continue Reading

Citations

May 13, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Sudip KunduPhilipp Soergel
Dec 22, 2016·Archives of Gynecology and Obstetrics·Ingolf Juhasz-BössErich Solomayer
Jan 11, 2018·BioMed Research International·Stefan Rimbach, Miriam Schempershofe
Sep 20, 2018·Archives of Gynecology and Obstetrics·Jana NickolBenjamin Tuschy
Jul 7, 2018·Case Reports in Obstetrics and Gynecology·Rawan Bajis, Gregg Eloundou
Oct 20, 2018·Emerging Infectious Diseases·Frank KowalzikFred Zepp
Dec 23, 2015·Archives of Gynecology and Obstetrics·Stefan RimbachFelix Offner
Nov 28, 2017·Archives of Gynecology and Obstetrics·Christina B WalterMarkus Hahn
May 6, 2016·Deutsches Ärzteblatt International·Klaus J NeisMonika Nothacker
Aug 29, 2021·Archives of Gynecology and Obstetrics·Felix NeisSara Brucker

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