Vaginal myomectomy for prolapsed Submucous fibroid : it is not only about size
Joint Authors
Gowri, Vaidyanathan
al-Dhuhli, Hammud
al-Ghafri, Wadha
al-Shukri, Maryam
Source
Issue
Vol. 34, Issue 6 (30 Nov. 2019), pp.556-559, 4 p.
Publisher
Publication Date
2019-11-30
Country of Publication
Oman
No. of Pages
4
Main Subjects
Topics
Abstract EN
Leiomyoma of the uterus, also called fibroids, are common in women.
In this case report, we describe the case of a nulliparous woman with a large, prolapsed submucous uterine leiomyoma of 10 × 11 cm was vaginally impacted.
The aim is to highlight the challenges in managing such uncommon clinical scenario focusing on the factors predicting the success of vaginal myomectomy including the size of the myoma but also the role of vaginal laxity to allow the steps of devascularization, detachment, and removal of the myoma.
We also describe the preoperative and intraoperative methods that can be used to minimize intraoperative blood loss and enhance the safety and feasibility of the surgical procedure.
Gonadotropin therapy was not applicable in our patient, and other treatments were also unavailable such as temporary ligation of uterine arteries, while others were unsuccessful like devascularization by hysteroscopy, twisting, and ligation of the pedicle.
The final resort used in our case was morcellation of the myoma with intact pedicle, which should be attempted by experienced gynecologic surgeons only.
American Psychological Association (APA)
al-Shukri, Maryam& al-Ghafri, Wadha& al-Dhuhli, Hammud& Gowri, Vaidyanathan. 2019. Vaginal myomectomy for prolapsed Submucous fibroid : it is not only about size. Oman Medical Journal،Vol. 34, no. 6, pp.556-559.
https://search.emarefa.net/detail/BIM-900535
Modern Language Association (MLA)
al-Shukri, Maryam…[et al.]. Vaginal myomectomy for prolapsed Submucous fibroid : it is not only about size. Oman Medical Journal Vol. 34, no. 6 (Nov. 2019), pp.556-559.
https://search.emarefa.net/detail/BIM-900535
American Medical Association (AMA)
al-Shukri, Maryam& al-Ghafri, Wadha& al-Dhuhli, Hammud& Gowri, Vaidyanathan. Vaginal myomectomy for prolapsed Submucous fibroid : it is not only about size. Oman Medical Journal. 2019. Vol. 34, no. 6, pp.556-559.
https://search.emarefa.net/detail/BIM-900535
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 559
Record ID
BIM-900535