Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations
Aim of the studyTo define the impact of cervical fibroids (CFs) localization, size, and their combined presence on the feasibility of performing cervical intracapsular myomectomy (CIME) by using a vaginal approach.ObjectiveEvaluation of the feasibility of conducting CIME via the transvaginal approac...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1564667/full |
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| author | Andrea Tinelli Ospan Mynbaev Gaetano Panese Martina Licchelli Giovanni Pecorella Antonio Malvasi Ioannis Kosmas Michael Stark Wenming Cao |
| author_facet | Andrea Tinelli Ospan Mynbaev Gaetano Panese Martina Licchelli Giovanni Pecorella Antonio Malvasi Ioannis Kosmas Michael Stark Wenming Cao |
| author_sort | Andrea Tinelli |
| collection | DOAJ |
| description | Aim of the studyTo define the impact of cervical fibroids (CFs) localization, size, and their combined presence on the feasibility of performing cervical intracapsular myomectomy (CIME) by using a vaginal approach.ObjectiveEvaluation of the feasibility of conducting CIME via the transvaginal approach.Materials and methodsThis retrospective cohort observational study included 32 patients who underwent CIME. The findings were evaluated by comparing them with the outcomes of 1,204 patients with CFs reported in the English and Chinese literature.ResultsThe study demonstrated that CIME by vaginal approach can be successfully performed on CFs with a mean size of 8.08 cm (95% CI: 7.44–8.73 cm) for extracervical anterior and posterior sites, 7.61 cm (95% CI: 7.09–8.14 cm) for extracervical and intracervical lateral localizations, and 5.36 cm (95% CI: 4.71–6.35 cm) for combined CFs in two different localization sites. The feasibility and efficiency of the suggested CIME technique were confirmed through a comparative analysis of perioperative endpoints from 326 vaginal, 643 laparoscopic, and 235 laparotomic myomectomies documented in the literature.ConclusionThe findings highlight key issues related to the suggested original CIME technique performed via a direct vaginal approach. They also provide a comprehensive classification of CFs along with the CFs’ clinical manifestations based on the type of growth direction, locations, and fibroid maturity. These findings may have implications for managing patients with CFs. |
| format | Article |
| id | doaj-art-0f73c3655444439f8f0a670b5da2dccd |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-0f73c3655444439f8f0a670b5da2dccd2025-08-20T02:28:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-05-011210.3389/fmed.2025.15646671564667Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizationsAndrea Tinelli0Ospan Mynbaev1Gaetano Panese2Martina Licchelli3Giovanni Pecorella4Antonio Malvasi5Ioannis Kosmas6Michael Stark7Wenming Cao8Department of Obstetrics and Gynecology and CERICSAL, CEntro di RIcerca Clinico SALentino, Veris Delli Ponti Hospital, Scorrano, Lecce, ItalyThe New European Surgical Academy (NESA), Berlin, GermanyDepartment of Obstetrics and Gynecology and CERICSAL, CEntro di RIcerca Clinico SALentino, Veris Delli Ponti Hospital, Scorrano, Lecce, ItalyDepartment of Obstetrics and Gynecology and CERICSAL, CEntro di RIcerca Clinico SALentino, Veris Delli Ponti Hospital, Scorrano, Lecce, ItalyDepartment of Obstetrics and Gynecology and CERICSAL, CEntro di RIcerca Clinico SALentino, Veris Delli Ponti Hospital, Scorrano, Lecce, ItalyDepartment of Interdisciplinary Medicine (DIM), Unit of Obstetrics and Gynecology, University of Bari, Bari, ItalyDepartment of Obstetrics and Gynecology, Ioannina State General Hospital G. Hatzikosta, Ioannina University, Ioannina, GreeceThe New European Surgical Academy (NESA), Berlin, GermanyDepartment of Gynecology, Pingshan District Central Hospital of Shenzhen, Shenzhen, ChinaAim of the studyTo define the impact of cervical fibroids (CFs) localization, size, and their combined presence on the feasibility of performing cervical intracapsular myomectomy (CIME) by using a vaginal approach.ObjectiveEvaluation of the feasibility of conducting CIME via the transvaginal approach.Materials and methodsThis retrospective cohort observational study included 32 patients who underwent CIME. The findings were evaluated by comparing them with the outcomes of 1,204 patients with CFs reported in the English and Chinese literature.ResultsThe study demonstrated that CIME by vaginal approach can be successfully performed on CFs with a mean size of 8.08 cm (95% CI: 7.44–8.73 cm) for extracervical anterior and posterior sites, 7.61 cm (95% CI: 7.09–8.14 cm) for extracervical and intracervical lateral localizations, and 5.36 cm (95% CI: 4.71–6.35 cm) for combined CFs in two different localization sites. The feasibility and efficiency of the suggested CIME technique were confirmed through a comparative analysis of perioperative endpoints from 326 vaginal, 643 laparoscopic, and 235 laparotomic myomectomies documented in the literature.ConclusionThe findings highlight key issues related to the suggested original CIME technique performed via a direct vaginal approach. They also provide a comprehensive classification of CFs along with the CFs’ clinical manifestations based on the type of growth direction, locations, and fibroid maturity. These findings may have implications for managing patients with CFs.https://www.frontiersin.org/articles/10.3389/fmed.2025.1564667/fulluterine cervixcervical leiomyomacervical fibroidscervical intracapsular myomectomyvaginal myomectomylaparoscopic myomectomy |
| spellingShingle | Andrea Tinelli Ospan Mynbaev Gaetano Panese Martina Licchelli Giovanni Pecorella Antonio Malvasi Ioannis Kosmas Michael Stark Wenming Cao Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations Frontiers in Medicine uterine cervix cervical leiomyoma cervical fibroids cervical intracapsular myomectomy vaginal myomectomy laparoscopic myomectomy |
| title | Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations |
| title_full | Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations |
| title_fullStr | Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations |
| title_full_unstemmed | Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations |
| title_short | Cervical fibroids: the vaginal intracapsular myomectomy with classification by the fibroids’ origin, growth directions, and localizations |
| title_sort | cervical fibroids the vaginal intracapsular myomectomy with classification by the fibroids origin growth directions and localizations |
| topic | uterine cervix cervical leiomyoma cervical fibroids cervical intracapsular myomectomy vaginal myomectomy laparoscopic myomectomy |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1564667/full |
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