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Laparoscopic management of large myomas.

Sinha R, Sundaram M - J Gynecol Endosc Surg (2009)

Bottom Line: The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically.We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same.Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding.

View Article: PubMed Central - PubMed

Affiliation: Consultant endoscopic surgeons, Beams hospitals, Mumbai, India.

ABSTRACT
The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically. We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same. Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding. This comprehensive review describes all possibilities of laparoscopic myomectomy irrespective of size, site and number.

No MeSH data available.


Related in: MedlinePlus

Uterus with Pedunculated fibroid
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Figure 0011: Uterus with Pedunculated fibroid

Mentions: We infiltrate up to 30 ml of vasopressin at a concentration of 10 IU/100 ml of saline solution at several points at the base of the fibroid subcapsularly before the incision [Figure 8]. Conventionally, the incision is made on the most prominent part of the myoma. We prefer to make a horizontal incision on the myoma with bipolar coagulation and laparoscopic scissors or with the harmonic ultracision [Figures 9 and 10], the width of which varies with the size of the lesion. In case of large pedunculated and subserosal myomas, a circumferential incision is made leaving enough capsule for suturing the myoma bed. A pedicle clamp can also be placed in pedunculated myomas and the myoma can be cut off from the base [Figures 11 and 12].


Laparoscopic management of large myomas.

Sinha R, Sundaram M - J Gynecol Endosc Surg (2009)

Uterus with Pedunculated fibroid
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3304276&req=5

Figure 0011: Uterus with Pedunculated fibroid
Mentions: We infiltrate up to 30 ml of vasopressin at a concentration of 10 IU/100 ml of saline solution at several points at the base of the fibroid subcapsularly before the incision [Figure 8]. Conventionally, the incision is made on the most prominent part of the myoma. We prefer to make a horizontal incision on the myoma with bipolar coagulation and laparoscopic scissors or with the harmonic ultracision [Figures 9 and 10], the width of which varies with the size of the lesion. In case of large pedunculated and subserosal myomas, a circumferential incision is made leaving enough capsule for suturing the myoma bed. A pedicle clamp can also be placed in pedunculated myomas and the myoma can be cut off from the base [Figures 11 and 12].

Bottom Line: The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically.We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same.Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding.

View Article: PubMed Central - PubMed

Affiliation: Consultant endoscopic surgeons, Beams hospitals, Mumbai, India.

ABSTRACT
The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically. We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same. Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding. This comprehensive review describes all possibilities of laparoscopic myomectomy irrespective of size, site and number.

No MeSH data available.


Related in: MedlinePlus