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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

Enucleation of fibroid
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Figure 0016: Enucleation of fibroid

Mentions: Enucleation is made along the cleavage plane separating the myoma and surrounding myometrium[19] [Figures 16 and 17]. It is facilitated by traction with a 5-mm myoma screw and countertraction on the cervix with a tenaculum held by the assistant. A degenerated myoma may be too friable to allow a firm grip with a myoma screw. Hemostasis is ensured. The myoma bed is obliterated with mattress sutures. The myoma capsule is closed with interrupted intracorporeal sutures with 1-0 polyglyconate in one or two layers depending on the depth of the myoma in the uterine wall [Figure 18]. If the uterine cavity is opened, the endometrium is reposited and the uterine wall is closed excluding the endometrium.


Laparoscopic management of large myomas.

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

Enucleation of fibroid
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0016: Enucleation of fibroid
Mentions: Enucleation is made along the cleavage plane separating the myoma and surrounding myometrium[19] [Figures 16 and 17]. It is facilitated by traction with a 5-mm myoma screw and countertraction on the cervix with a tenaculum held by the assistant. A degenerated myoma may be too friable to allow a firm grip with a myoma screw. Hemostasis is ensured. The myoma bed is obliterated with mattress sutures. The myoma capsule is closed with interrupted intracorporeal sutures with 1-0 polyglyconate in one or two layers depending on the depth of the myoma in the uterine wall [Figure 18]. If the uterine cavity is opened, the endometrium is reposited and the uterine wall is closed excluding the endometrium.

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