Fibroids in Obstetric and Gynecology: Training and Skill in Myomectomy

Abstract

Uterine fibroids or myomas are the most common pathology of the female genital system. They affect one in three women aged 35 and over, with a rate increase from the age of 40, involve a direct and indirect healthcare expense for the diagnosis and medical and surgical treatment, resulting in a high social cost of the disease. Uterine fibroids unfortunately create both gynecological and obstetric problems, as they determine most hysterectomies and cause infertility, abortions, and obstetric complications, for example, premature births or placental abruption. In this chapter we will deal with the complex world of fibroids, with a complete overview, starting from biology, passing through histology and anatomy, continuing through gynecology, and ending in obstetrics. The authors propose to illustrate everything there is to know about fibroids in gynecology and obstetrics, up to complete the roundup with surgical treatments in both gynecology and obstetrics. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.