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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
Laparoscopic myomectomy of a giant myoma
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1
4th Department of Gynecology and Obstetrics, Aristotle University of Thessaloniki, Thessaloniki
2
Department of Gynecologic Oncology, St. Loukas Hospital, Thessaloniki
3
2nd Department of Gynecology, St. Savvas Anticancer-Oncological Hospital, Athens (Greece)
Clin. Exp. Obstet. Gynecol. 2013, 40(1), 178–180;
Published: 10 March 2013
Abstract
We present the case of an infertile woman with a giant myoma which was laparoscopically removed. A 34-year-old patient was referred to our department with a large abdominal mass. Ultrasound revealed an 18 cm uterine myoma. Diagnostic laparoscopy showed a giant uterine myoma and with the help of a bent angle camera we started myoma enucleation. The myoma was totally enucleated and removed without disturbing the endometrial cavity. The uterine defect was closed with an absorbable suture in two layers. The myoma was removed using a PK (Gyrus) morcelator, without tissue or blood spillage in the abdomen. The operation time was 165 minutes and the myoma’s weight was 1,200 g. The patient recovered uneventfully. Laparoscopic myomectomy can be an option even for giant myomas, with the condition of an expert surgeon and appropriate surgical instruments.
Keywords
Laparoscopic myomectomy
Giant myoma