Intraosseous Leiomyoma of the Jaw in an Adolescent
Authors: Ngan TYT, Zakhari A, Czuzoj-Shulman N, Tulandi T, Abenhaim HA Abstract OBJECTIVE: Robotic surgery is increasingly being used for treatment of malignant and benign gynaecologic diseases. The purpose of our study is to compare patient perioperative complications and costs of laparoscopic versus robotic-assisted hysterectomy for uterine leiomyomas. METHODS: A retrospective cohort study using the Nationwide Inpatient Sample database from the United States was conducted, comparing patients who underwent robotic-assisted hysterectomy and laparoscopic hysterectomy (total laparoscopic hysterectomy and laparosc...
Publication date: Available online 18 October 2017 Source:Gynecologic Oncology Reports Author(s): Alexandra Martin, Erin Medlin
CONCLUSION: BML should be considered in women with a history of leiomyomata who develop pneumothoraces resulting from peripheral pulmonary nodules. A standardized treatment regimen has yet to be established, and therapy plans require a multidisciplinary approach, involving gynecology, cardiothoracic surgery, and pulmonology. PMID: 29026364 [PubMed]
Conclusions Our results were in accordance with previous studies and imply that up-regulation of CYP19A1 is correlated with the pathogenesis of leiomyoma tumors. We also observed that expression level of CYP19A1 was not linked to the tumor size or localization. It can be concluded that; up-regulation of aromatase is a key factor in the initiation of tumor development as well as tumor growth.
Uterine-sparing procedures for uterine leiomyomas had small but significant differences in risks for reintervention, subsequent hysterectomy, and subsequent complications, a study found.Medscape Medical News
Abstract Objective To describe the blood flow velocities and impedance indices changes in the uterine arteries of leiomyomatous uteri using Doppler sonography. Methods This was a prospective, case-control study conducted on 140 premenopausal women with sonographic diagnosis of uterine leiomyoma and 140 premenopausal controls without leiomyomas. Pelvic sonography was performed to diagnose and characterize the leiomyomas. The hemodynamics of the ascending branches of both main uterine arteries was assessed by Doppler interrogation. Statistical analysis was performed mainly using non-parametric tests. Results The median uteri...
Patient is a 48-year old with history of total hysterectomy secondary to symptomatic leiomyomas. She was referred to our clinic with groin and right leg pain. She also had burning sensation on the medial aspect of the inner thigh. Pelvic MRI was obtained to further evaluate the etiology of her complaints which revealed a 3.3 cm mass in the obturator fossa. She was taken to the OR for robotic resection of the mass. Once retro-peritoneum was explored and obturator fossa was accessed, the mass was visualized compressing on the obturator nerve.
Leiomyoma and endometriosis are common benign uterine diseases. We will present two rare cases of leiomyoma and endometriosis of the bladder. Case 1 underwent TLH for sub mucosal myoma (by gynecologists) and transurethral resection of bladder leiomyoma (by urologists) in one surgical session. The bladder was perforated during the later stage. Gynecologists were called for laparoscopic bladder repair. We dilated the perforation site and removed the bladder leiomyoma. Then the myoma-bed and laceration were reapproximated laparoscopically.
This is a video showing total laparoscopic hysterectomy with uterine didelphys. The patient is a 41yo G4P3013 with a known uterine didelphys who presented with abnormal uterine bleeding, leiomyomas, and dysmenorrhea. She had failed medical treatment and desired surgery. Her hysterectomy was successfully performed laparoscopically. The video discusses pertinent anatomy related to uterine didelphys and helpful surgical tips for performing laparoscopic hysterectomy in a patient with uterine didelphys.
Approximately 590,000 hysterectomies are performed annually in the United States. Indications for hysterectomy include leiomyomas, endometriosis and uterine prolapse. Although vaginal hysterectomy is the preferred hysterectomy route, only 22% of all hysterectomies are performed via the transvaginal route.