Intracervical intracapsular myomectomy using loop ligation: a proposed technique.

Abstract

Performing laparoscopic myomectomy for an intracervical myoma, especially a single giant myoma, is challenging. Only skilled surgeons attempt this operation. Surgeons frequently encounter cases of massive intraoperative bleeding, difficulty suturing the cervical incision, risk of injuring the neighbouring tissues, haematoma formation and conversion to laparotomy or hysterectomy. We previously developed a the technique of loop ligation of the pseudocapsule and have been using it to treat sizeable intracervical myomas laparoscopically. Its advantages include less blood loss, lower risk of injuries to the neighbouring tissues, maintenance of the cervical canal and sparing of the pseudocapsule. This technique is safe and feasible, and facilitates fertility. TWEETABLE ABSTRACT: The loop ligation technique is safe and feasible for laparoscopic myomectomy involving intracervical myomas.

• Authors: S Wang, D Wang, Q Huang, F Zhao
• Journal: BJOG : an international journal of obstetrics and gynaecology (BJOG) Vol. 128 Issue 13 Pg. 2151-2156 (12 2021) ISSN: 1471-0528 [Electronic] England
• PMID: 34396676 (Publication Type: Journal Article)
• Copyright: © 2021 John Wiley & Sons Ltd.

Topics

• Adult
• Blood Loss, Surgical
• Cervix Uteri (surgery)
• Female
• Humans
• Laparoscopy (methods)
• Laparotomy
• Leiomyoma (pathology, surgery)
• Organ Sparing Treatments
• Sutures
• Uterine Myomectomy (methods)
• Uterine Neoplasms (pathology, surgery)