Tips and Tricks for Cervical Myomectomy

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.067

C Liao , RJ Schneyer , K Hamilton , MD Truong

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Abstract

Study Objective

Removal of large cervical fibroids is often surgically challenging. Their location can distort normal anatomy and make it difficult to visualize vital structures needed to safely remove these types of fibroids. In this video, we provide tips and tricks for successfully managing cervical fibroids. The objectives of this video are to review relevant anatomy that may be distorted by large cervical fibroids, to discuss tips and tricks for performing myomectomy for cervical fibroids, and to demonstrate the application of these techniques during a robotic-assisted cervical myomectomy.

Design

Surgical video.

Setting

Academic tertiary care hospital.

Patients or Participants

32-year-old patient with large posterior cervical fibroid.

Interventions

Robotic-assisted myomectomy.

Measurements and Main Results

N/A.

Conclusion

In this video, we review tips for approaching cervical fibroids including hemostasis techniques, use of methylene blue, ureterolysis, vertical hysterotomy, and posterior suturing. Cervical myomectomy can be done safely and efficiently using these techniques.

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宫颈肌瘤切除术的技巧和窍门

研究目的切除大的宫颈肌瘤通常具有手术挑战性。肌瘤的位置会扭曲正常的解剖结构，难以观察到安全切除这类肌瘤所需的重要结构。在本视频中，我们将提供成功处理宫颈肌瘤的技巧和窍门。本视频的目的是回顾可能被巨大宫颈肌瘤扭曲的相关解剖结构，讨论进行宫颈肌瘤剔除术的技巧和窍门，并演示这些技术在机器人辅助宫颈肌瘤剔除术中的应用。患者或参与者32岁的大型后位宫颈肌瘤患者.干预措施机器人辅助子宫肌瘤切除术.测量和主要结果N/A.结论在这段视频中，我们回顾了处理宫颈肌瘤的技巧，包括止血技术、亚甲蓝的使用、输尿管溶解、垂直子宫切除术和后方缝合。使用这些技术可以安全有效地完成宫颈肌瘤剔除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.