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May 1970

Myomectomy: An Alternative to Hysterectomy

Author Affiliations

From Vincent Memorial Hospital, Boston.

Arch Surg. 1970;100(5):557-561. doi:10.1001/archsurg.1970.01340230023004

Myomectomy is the indicated operation for leiomyomas in both married and single women who desire to preserve their childbearing function. Myomectomy is not a new operation but deserves reemphasis in this day of radical extirpative surgery. The thoughtful gynecologist is well aware of the natural desire of most young women to have children and of the emotional disaster that follows in such individuals if a hysterectomy is done. However, some physicans fail to consider this fact when making a decision regarding the choice of operation, ie, hysterectomy or myomectomy, as the following report of a case illustrates.

Report of a Case  A 28-year-old married woman (MGH 132-60-79), with a PhD in biochemistry, was working at a research center in another city. At 1 am she awakened because of a pain in the abdomen and went to the emergency ward of a local hospital. There she was given an analgesic, but

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