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So, we are performing myomectomy based on low quality evidence that it works, and until high quality evidence from randomized trials are done, we will continue to perform myomectomy.
Why studies on intramural fibroids are inconclusive?
• Mostofstudiesareretrospective.
• Exactpositionoffibroidsinthemuscularwallof
the uterus is not defined in most studies.
• Number and size of fibroids is not clear in the majority of studies.
• Distancebetweenfibroidandendometriumisnot specified in the studies.
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