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Editorial
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Volume 356:411-413 January 25, 2007 Number 4
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Treatment of Uterine Fibroids — Is Surgery Obsolete?
Togas Tulandi, M.D., M.H.C.M.

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In the early 1990s, Jacques H. Ravina first applied the technique of embolization of uterine arteries to treat uterine fibroids in women at high risk for complications during surgery1 in an effort to control uterine bleeding. Embolization was then expanded for the treatment of patients who were undergoing myomectomy in order to decrease intraoperative bleeding. In 1993, Ravina and colleagues started using uterine-artery embolization as a primary treatment for uterine fibroids.

Today, interventional radiologists worldwide perform uterine-artery embolization. Most of them embolize the uterine arteries bilaterally and not only the branch supplying blood to a particular fibroid (Figure 1. . . [Full Text of this Article]


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From the Department of Obstetrics and Gynecology, McGill University, Montreal.




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