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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11140/22:10443783

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

International Journal of Gynecology and Obstetrics

ISSN

0020-7292

e-ISSN

1879-3479

Svazek periodika

158

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

2

Strana od-do

481-482

Kód UT WoS článku

000787740500001

EID výsledku v databázi Scopus

2-s2.0-85128791498