Amy R. Deipolyi., et al. “Hysterectomy and Myomectomy vs Uterine Artery Embolization for Symptomatic Fibroids and Adenomyosis: National and Regional Trends and Adverse Events in 70,000 Patients.” Journal of Vascular and Interventional Radiology, Elsevier, 28 Feb. 2025, www.sciencedirect.com/science/article/abs/pii/S1051044325002180

The purpose of this article is to Compare three different procedures, a Myomectomy, a Hysterectomy and Artery Embolization for the removal of fibroids and Adenomyosis for the determination of the events after each surgery. 

1. The author’s main idea is to determine which of these surgical procedures is the most common in women.
2.  78,758 women In the US from 2016-2019 that had fibroids or adenomyosis were tested in this study. In this study they also considered other phenomenons that would have affected the outcome of each surgical procedure such as intestinal obstructions, pregnancies and miscarriages. 
3. Deipolyi et al, concluded that including all other complications the hysterectomy was the most common procedure done in women with fibroids and adenomyosis.

connection: This article will be useful to my research because it will prove that Hysterectomies are being done all over the United States more often than Myomectomies. When it’s time to compare in my article I will have enough evidence to support my claim and debate in favor of this surgical procedure.

Quotes: “Pregnancy and miscarriage rates after UAE and myomectomy were assessed” (Deipolyi, 2025)

“…hysterectomy was the most common intervention in women with uterine fibroids and adenomyosis” (Deipolyi, 2025)

Frisch, Emily H., and Jameson Jameson Mitchell,. et al. “The Impact of Fertility Goals on Long-Term Quality of Life in Reproductive-Aged Women Who Underwent Myomectomy versus Hysterectomy for Uterine Fibroids.” Journal of Minimally Invasive Gynecology, Elsevier, 10 Apr. 2023, www.sciencedirect.com/science/article/abs/pii/S155346502300153X 

summary:

This study compares the quality of life outcomes in women who underwent either a hysterectomy or a myomectomy for the treatment of uterine fibroids. The authors in this article aimed to provide insights into the decision-making progress for women considering the surgical options for the removal of uterine fibroids. They collected data from a site-specific hospital in which they tested these women’s outcomes over a period of 1 to 5 years post-surgery.  After the 5 years of research they were able to prove that women who had completed their fertility and chose hysterectomy reported higher improvement in their quality of life and women who desire to preserve their fertility and opted for myomectomy were able to maintain their fertility potential but experienced some issues in their quality of life even during surgical recovery. 

connection:

This article correlates with my research paper because I will be able to compare women’s quality of life after the removal of uterine fibroids. I will be able to discuss their quality of life and how each surgery affected their lives and in which ways. Furthermore, I will be able to discuss which surgical procedure accommodates better for women who want different things for example conserving or discarding their fertility which is basically their ability to have children.

Quotes:

“Previous work has shown that surgical management of fibroids with hysterectomy is associated with greater QOL compared with myomectomy.” (Frish-Mitchell, et al.,2023)

Lumsden, M.A, Hamoodi, I., Gupta, T., & Hickey, M. (2015). Fibroids. BMJ: British Medical Journal, 351. Retrieved March 17, 2025, from JSTOR.

https://www.jstor.org/stable/10.2307/26524114

Summary:

This article explores What fibroids are and what are the various treatments for them. Essentially fibroids are benign tumors located in the uterus that vary in size and can go from a few millimeters to 30 cm and sometimes even more. Fibroids tend to be asymptomatic but when symptoms present it usually involves heavy bleeding and pelvic pain. When experiencing these symptoms the right course of action is to go to your doctor who is going to perform a vaginal ultrasound to determine if you have the benign tumors. Once you are given this diagnosis there are 3 main surgical procedures done for the removal or the fibroids, which are a Uterine artery embolisation, a Myomectomy and a Hysterectomy. Uterine artery embolisation or UAE constitutes of blocking the blood supply to the uterus and it’s considered an outpatient procedure. A myomectomy is a surgery in which only the fibroids are removed and taken out of your body, this surgery is done laparoscopically or by a hysteroscopy. Finally a Hysterectomy is done to remove the entire uterus and it’s considered the most effective because it removes symptoms permanently but it does cost women their fertility. Even though fibroids are benign they can overcomplicate and turn into Leiomyosarcomas in many instances if left untreated and unmanaged.

Connection:

I will be using this Article in my research paper because since I am investigating the surgical procedures Myomectomy and Hysterectomy it is crucial to first determine what they are done for which more often than not are fibroids. Since this article takes a dive into what fibroids are, how they develop and how they are treated I will be able to debate which procedure is best as a treatment.

 Quotes:

“Fibroids are a mixture of smooth muscle cells and fibroblasts, which form hard, round, whorled tumours in the myometrium” (Lumsden, et al., 2025, pg 1).

“Fibroids only require treatment when they cause symptoms.Hysterectomy, myomectomy, or uterine artery embolisation should be considered for fibroids (>3 cm) that cause heavy menstrual bleeding and affect quality of life.” (Lumsden, et al., 2025, pg 3).

“Surgery for uterine fibroids either removes fibroid tissue only (myomectomy) or removes the uterus and fibroids (hysterectomy).” (Lumsden, et al., 2025, pg 3).

Coyne, Kathryn, et al. “Risk of Hysterectomy at the Time of Myomectomy: An Underestimated Surgical Risk.” Shibboleth Authentication Request, Accessed 18 Mar. 2025. www-sciencedirect-com.ccny-proxy1.libr.ccny.cuny.edu/science/article/pii/S0015028223018836 

Summary: 

The main objective of this article is to evaluate the risk of Hysterectomies over Myomectomies in a 30-day postoperative quality of life (QOL). It emphasizes on the surgical risks of myomectomies and how more often than not it ends up converting into a hysterectomy during or after the procedure. The authors highlight that even though Myomectomies are done for women who desire to preserve their fertility the likelihood of needing a hysterectomy is higher due to future complications.

Connection:

This article is highly relevant to my research because it supports the argument that Hysterectomies is the prime surgery chosen for the treatment of fibroids. It shows statistics of why one of the only reasons for choosing a Myomectomy is preserving fertility especially on young women who want to have children.

Quotes:

“ Despite growing appreciation regarding the impact of fibroid symptomatology, we are still limited by long-term treatment options for individuals wishing to maintain their uterus” (Coyne et al., 2025).

 “Other reports have demonstrated that the number, size, and location of the fibroids as well as the mode of surgery can influence the risk of bleeding and other complications” (Coyne et al., 2025).

“Morbidity outcomes on the basis of myomectomy with hysterectomy compared with no hysterectomy included length of hospital stay, total operative time, and minor and major complications.” (Coyne et al., 2025).

“…the rate of concurrent hysterectomy during myomectomy is higher than previously described in the literature. “ (Coyne et al., 2025)