Uterine fundectomy; A novel surgical technique for uterine preservation instead of hysterectomy
Sarem Women’s Hospital, Iran
: Androl Gynecol: Curr Res
Some benign uterine etiologies like uterine fibroids, adenomyosis, endometrial hyperplasia, abnormal or dysfunctional uterine bleeding are leading to hysterectomy. The hysterectomy as a radical surgery that resect a main internal sexual organ is not acceptable for many women even if they are not deciding for child bearing, because of their body images and their belief about sexuality and effects on quality of life. So, the alternative surgical techniques that can improve the satisfaction of the patients are important and must be developed for the purpose of harm reduction in the therapeutic options. In this paper, we present a novel surgical technique entitled “Uterine Fundectomy” that can minimize the harm of the hysterectomy and preserve a part of the uterine that can keep the sexual satisfaction, body images and menstruation periods for patients. In this study, we describe the details of surgical technique and present the outcomes and satisfaction of the 50 candidate volunteer patients. Based on our experience in this study, uterine fundectomy technique has a good outcomes and high satisfaction in patients and is more acceptable for the patients with benign pathologies compare with hysterectomy.
AboTaleb Saremi born in 1947 received MD degree from Jondishapour and Tehran Universities, Iran in 1975. He trained at the Obstetrics and Gynecology department of Münster University, Germany, and got subspecialty in IVF at Vienna University, Austria from 1981 to 1986 and then participated in complementary assisted reproductive technology (ART) courses in the USA and Australia. His specialization includes laparoscopic surgery and his efforts led to the birth of the first Iranian assisted reproduction baby by gamete intra-Fallopian transfer (GIFT) in 1989. He founded his first IVF center in Iran in 1993 and received the International Federation of Fertility Societies’ (IFFS) 30th anniversary recognition award in 1998. Currently, He is the president of the Sarem Women’s Hospital, which he founded in 2006, and also the president of the Sarem Cell Research Center (SCRC) & Sarem Fertility and Infertility Research Center (SAFIR).