Complex Laparoscopic Myomectomy with Severe Adhesions Performed with Proper Preventive Measures and Power Morcellation Provides a Safe Choice in Certain Infertility Cases
Joint Authors
Ayala-Yáñez, Rodrigo
Nevarez-Bernal, Roberto
Alfaro-Alfaro, Jaime
Flores-Manzur, María de los Ángeles
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Laparoscopic myomectomy offers a real benefit to infertile patients with uterine fibroids and peritoneal adhesions.
The procedure requires a skilled surgeon and laparoscopy technique to minimize adhesion formation and other proven benefits.
Restrictions arise since this procedure requires power morcellation for fibroid tissue extraction.
Two years ago, the Food and Drug Administration in the United States of America (FDA) issued the alert on power morcellation for uterine leiomyomas, addressing the risk of malignant cell spreading within the abdominal cavity (actual risk assessment from 1 in 360 to 1 in 7400 cases).
We review a 30-year-old female, without previous gestations, hypermenorrhea, intermenstrual bleeding, and chronic pelvic pain.
Transvaginal ultrasound reports multiple fibroids in the right portion of a bicornuate uterus.
Relevant history includes open myomectomy 6 years before and a complicated appendectomy, developing peritonitis within a year.
Laparoscopy revealed multiple adhesions blocking uterine access, a bicornuate uterus, and myomas in the expected site.
Myomectomy was performed utilizing power morcellation with good results.
FDA recommendations have diminished this procedure’s selection, converting many to open variants.
This particular case was technically challenging, requiring morcellation, and safety device deployment was impossible, yet the infertility issue was properly addressed.
Patient evaluation, safety measures, and laparoscopy benefits may outweigh the risks in particular cases as this one.
American Psychological Association (APA)
Alfaro-Alfaro, Jaime& Flores-Manzur, María de los Ángeles& Nevarez-Bernal, Roberto& Ayala-Yáñez, Rodrigo. 2016. Complex Laparoscopic Myomectomy with Severe Adhesions Performed with Proper Preventive Measures and Power Morcellation Provides a Safe Choice in Certain Infertility Cases. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101538
Modern Language Association (MLA)
Alfaro-Alfaro, Jaime…[et al.]. Complex Laparoscopic Myomectomy with Severe Adhesions Performed with Proper Preventive Measures and Power Morcellation Provides a Safe Choice in Certain Infertility Cases. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101538
American Medical Association (AMA)
Alfaro-Alfaro, Jaime& Flores-Manzur, María de los Ángeles& Nevarez-Bernal, Roberto& Ayala-Yáñez, Rodrigo. Complex Laparoscopic Myomectomy with Severe Adhesions Performed with Proper Preventive Measures and Power Morcellation Provides a Safe Choice in Certain Infertility Cases. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101538
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101538