Laparoscopically-assisted vaginal polymyomectomy overcoming usual size limits of minimally invasive surgery-A case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00669806%3A_____%2F22%3A10443783" target="_blank" >RIV/00669806:_____/22:10443783 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11140/22:10443783

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=51epmwEGDZ" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=51epmwEGDZ</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/ijgo.14215" target="_blank" >10.1002/ijgo.14215</a>

Result language

angličtina

Original language name

Laparoscopically-assisted vaginal polymyomectomy overcoming usual size limits of minimally invasive surgery-A case report

Original language description

Uterine fibroids are the most common benign tumors affecting young women. Symptomatic fibroids require treatment. Surgical options include the conventional laparotomy, the laparoscopic and the vaginal routes. Excessive size, number and location of the fibroids are considered limitations to the minimally invasive surgery, i.e. laparoscopic and the vaginal approaches. We report a successful treatment of a large myomatous uterus with both large and multiple fibroids in a nulliparous women to demonstrate that the laparoscopically assisted vaginal approach performed by an experienced surgical team with good anesthetic care may overcome all the generally acknowledged limits. We report the case of a 43-year-old nulliparous Caucasian woman presenting with a large myomatous uterus. Clinical examination revealed a globular uterus reaching the umbilicus and imaging showed multiple intramural and subserous typical leiomyomas, the largest was a posterior cervico-isthmic myoma of 103 x 94 x 59 mm and 4 fibroids above 58 mm diameter. A laparoscopic-assisted vaginal approach was decided. First, by laparoscopy we resected a total of 7 fibroids of 10 to 80 mm then we completed the procedure by a vaginal myomectomy of the largest 120 mm fibroid. All leiomyomas were removed from the intraperitoneal cavity via posterior culdotomy, the largest fibroid required vaginal morcellation. Postoperative recovery was fast and uncomplicated. Laparoscopic myomectomy is the gold standard management of uterine fibroids. The size, location and number of the fibroids were considered limitations of this technique. Laparoscopicaly assisted vaginal myomectomy performed by a well-trained surgical team and a good anesthetic care may overcome theacknowledged limits for minimally invasive myomectomy even in case of nulliparous women.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Gynecology and Obstetrics

ISSN

0020-7292

e-ISSN

1879-3479

Volume of the periodical

158

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

2

Pages from-to

481-482

UT code for WoS article

000787740500001

EID of the result in the Scopus database

2-s2.0-85128791498