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Myomectomy for Multiple or Giant Uterine Fibroids
- Source :
- The Surgery Journal, The Surgery Journal, Vol 06, Pp S22-S34 (2020)
- Publication Year :
- 2019
- Publisher :
- Georg Thieme Verlag KG, 2019.
-
Abstract
- Myomectomy for diffuse leiomyomatosis and giant fibroid exceeding 30 cm in length is a particularly difficult operation. For diffuse leiomyomatosis, what kind of incision is put in and nucleated, how to suture the wound is a problem. In the case of giant fibroids, the degree of difficulty varies greatly depending on the site, size, and number of fibroid. The points should be taken into account at the time of surgery are as follows: (1) how to incision because incision becomes long, (2) how to remove multiple fibroids together, reduce incisional wounds, and reconstruct the uterus, (3) how to reduce the bleeding, how to suture not to leave a dead space. From the preoperative magnetic resonance imaging findings for each case, we will conduct surgery as far as possible to simulate, but, in fact, it is necessary to judge instantaneously at the time of laparotomy. It is necessary to see many difficult operations and acquire the judgment ability.
- Subjects :
- medicine.medical_specialty
Uterine fibroids
medicine.medical_treatment
lcsh:Surgery
Uterus
cervical fibroid
Precision Surgery in Obstetrics and Gynecology
Diffuse leiomyomatosis
03 medical and health sciences
0302 clinical medicine
Suture (anatomy)
Laparotomy
medicine
030212 general & internal medicine
myomectomy
medicine.diagnostic_test
business.industry
giant fibroid
Magnetic resonance imaging
lcsh:RD1-811
medicine.disease
female genital diseases and pregnancy complications
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
business
diffuse leiomyomatosis
Subjects
Details
- ISSN :
- 23785136 and 23785128
- Database :
- OpenAIRE
- Journal :
- The Surgery Journal
- Accession number :
- edsair.doi.dedup.....1403c215776aa1a86897f40f39d3af27