{"title":"宫颈肌瘤切除术的技巧和窍门","authors":"C Liao , RJ Schneyer , K Hamilton , MD Truong","doi":"10.1016/j.jmig.2024.09.067","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>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.</div></div><div><h3>Design</h3><div>Surgical video.</div></div><div><h3>Setting</h3><div>Academic tertiary care hospital.</div></div><div><h3>Patients or Participants</h3><div>32-year-old patient with large posterior cervical fibroid.</div></div><div><h3>Interventions</h3><div>Robotic-assisted myomectomy.</div></div><div><h3>Measurements and Main Results</h3><div>N/A.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"31 11","pages":"Pages S7-S8"},"PeriodicalIF":3.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tips and Tricks for Cervical Myomectomy\",\"authors\":\"C Liao , RJ Schneyer , K Hamilton , MD Truong\",\"doi\":\"10.1016/j.jmig.2024.09.067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><div>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.</div></div><div><h3>Design</h3><div>Surgical video.</div></div><div><h3>Setting</h3><div>Academic tertiary care hospital.</div></div><div><h3>Patients or Participants</h3><div>32-year-old patient with large posterior cervical fibroid.</div></div><div><h3>Interventions</h3><div>Robotic-assisted myomectomy.</div></div><div><h3>Measurements and Main Results</h3><div>N/A.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":16397,\"journal\":{\"name\":\"Journal of minimally invasive gynecology\",\"volume\":\"31 11\",\"pages\":\"Pages S7-S8\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of minimally invasive gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1553465024004758\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465024004758","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
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.
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.
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