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Synchronous uterine artery embolization and laparoscopic myomectomy for massive uterine leiomyomas.

Madhuri TK, Kamran W, Walker W, Butler-Manuel S - JSLS (2010 Jan-Mar)

Bottom Line: Uterine leiomyomas remain the commonest cause of menorrhagia and frequently cause pressure symptoms.Management of leiomyomas depends on the presenting symptoms, size, location, number of myomas, and the patient's desire to retain her uterus, fertility, or both.We present the first case of laparoscopic myomectomy for a fibroid measuring 30cm in maximum diameter.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynaecological Oncology, Royal Surrey County Hospital, Guildford, Surrey, United Kingdom. docmadhuri231@doctors.org.uk

ABSTRACT
Uterine leiomyomas remain the commonest cause of menorrhagia and frequently cause pressure symptoms. Management of leiomyomas depends on the presenting symptoms, size, location, number of myomas, and the patient's desire to retain her uterus, fertility, or both. We present the first case of laparoscopic myomectomy for a fibroid measuring 30cm in maximum diameter.

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Laparoscopic images showing a large fibroid displacing the pelvic colon and rectum.
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Figure 3: Laparoscopic images showing a large fibroid displacing the pelvic colon and rectum.

Mentions: Later on the same day, the patient underwent a laparoscopic myomectomy. Abdominal access was gained through a Palmer_s point entry. Following pneumoperitoneum, one 12-mm umbilical, one 5-mm suprapubic, and two 5-mm lateral ports were inserted under direct vision. A massive left broad ligament fibroid extending along the left pelvic side wall was noted, displacing the pelvic colon and rectum grossly to the right (Figure 3). A further large retroperitoneal fibroid arising from the posterior surface of the uterus down to the level of the pelvic floor was also noted.


Synchronous uterine artery embolization and laparoscopic myomectomy for massive uterine leiomyomas.

Madhuri TK, Kamran W, Walker W, Butler-Manuel S - JSLS (2010 Jan-Mar)

Laparoscopic images showing a large fibroid displacing the pelvic colon and rectum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021304&req=5

Figure 3: Laparoscopic images showing a large fibroid displacing the pelvic colon and rectum.
Mentions: Later on the same day, the patient underwent a laparoscopic myomectomy. Abdominal access was gained through a Palmer_s point entry. Following pneumoperitoneum, one 12-mm umbilical, one 5-mm suprapubic, and two 5-mm lateral ports were inserted under direct vision. A massive left broad ligament fibroid extending along the left pelvic side wall was noted, displacing the pelvic colon and rectum grossly to the right (Figure 3). A further large retroperitoneal fibroid arising from the posterior surface of the uterus down to the level of the pelvic floor was also noted.

Bottom Line: Uterine leiomyomas remain the commonest cause of menorrhagia and frequently cause pressure symptoms.Management of leiomyomas depends on the presenting symptoms, size, location, number of myomas, and the patient's desire to retain her uterus, fertility, or both.We present the first case of laparoscopic myomectomy for a fibroid measuring 30cm in maximum diameter.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynaecological Oncology, Royal Surrey County Hospital, Guildford, Surrey, United Kingdom. docmadhuri231@doctors.org.uk

ABSTRACT
Uterine leiomyomas remain the commonest cause of menorrhagia and frequently cause pressure symptoms. Management of leiomyomas depends on the presenting symptoms, size, location, number of myomas, and the patient's desire to retain her uterus, fertility, or both. We present the first case of laparoscopic myomectomy for a fibroid measuring 30cm in maximum diameter.

Show MeSH
Related in: MedlinePlus