An effective method using laparoscopy in treatment of upper vaginal leiomyoma

An effective method using laparoscopy to enucleate and resect the upper vaginal leiomyoma can avoid injury of adjacent organs.

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Volume 114, Issue 1, Pages 185–186

Authors:

Ning-Ning Zhang, M.D., Da Li, Ph.D., Si-Lei Chen, M.D., Na Zuo, M.D., Tian-Shui Sun, M.D., Qing Yang, Ph.D.

Abstract:

Objective

To introduce an effective approach using laparoscopy in the treatment of upper vaginal leiomyoma.

Design

Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of China Medical University.

Setting

Hospital.

Patient(s)

A 34-year-old woman diagnosed with 5-cm upper vaginal leiomyoma, who had sexual discomfort for 5 years.

Intervention(s)

Using laparoscopy in the treatment of upper vaginal leiomyoma consists of five steps: first lysing the pelvic adhesion; exploring the pelvic cavity and locating the vaginal leiomyoma through gynecologic examination by the assistant; recognizing the position between leiomyoma and ureter and carefully dissociating ureter while avoiding injury; completely enucleating and resecting the vaginal leiomyoma using laparoscopy; and exploring the ureter, rectum, and uterine artery to make sure there was no injury.

Main Outcome Measure(s)

Value and feasibility of using laparoscopy in treatment of upper vaginal leiomyoma.

Result(s)

The vaginal leiomyoma was removed successfully using laparoscopic operation and the operative time was 95 minutes. In the follow-up period, the patient did not report any symptoms, and she became pregnant at the time of the 20th month after operation and underwent a vaginal delivery at full-term.

Conclusion(s)

For upper vaginal leiomyoma treatment, laparoscopic operation could present a clear visual field to avoid injury of bladder, ureter, rectum, and uterine artery. Laparoscopic operation is safe and feasible in treatment of upper vaginal leiomyoma.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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