Robotic resection of a large ovarian leiomyoma.

Robotic resection of a large ovarian leiomyoma. Minerva Chir. 2020 Apr;75(2):121-124 Authors: Mangano A, Valle V, Bustos R, Gruessner S, Masrur M, Aguiluz G, Bianco F, Giulianotti PC Abstract Uterine leiomyomata are the most frequent leiomyomata. However, this benign tumor can also arise in unusual locations (e.g. ovaries, urethra, bladder and vulva). The diagnostic process of ovarian leiomyomata can be difficult, and it is mostly incidental: the lesions are usually small and the clinical presentation is mainly asymptomatic. Since the first case described in 1862, less than 100 cases have been described. Some of these lesions have been treated laparoscopically. To our knowledge, this is the first worldwide case of an ovarian leiomyoma treated with a robotic approach (surgeon: Prof. P.C. Giulianotti, M.D., F.A.C.S.). Moreover, we provide an overview of the recent literature, and an intraoperative video of the intervention. PMID: 32267137 [PubMed - as supplied by publisher]
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research

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A 30-year-old, gravida 0, female was referred from a local clinic due to persistent, vague abdominal pain and a presumed pedunculated myoma at posterior uterine wall, measuring about 7.2  × 6.0cm by ultrasonography. She denied any prior surgical history. Laparoscopy revealed a mass entrapped within an omentum covered with engorged, serpentine blood vessels that traced back to a single pedicle (Fig 1A). Exploration of the omentum uncovered an isolated myomatous mass (Fig 1B). Af ter careful en-bloc resection, the specimen, along with another excised subserosal myoma (about 1cm in size), was removed via posterior colpotomy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research
ConclusionSurgeons should consider the possibility of this complication in women with acute abdominal pain and a history of uterine leiomyoma.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
CONCLUSIONS: There are limited data on the effectiveness and safety of in-bag morcellation at the time of laparoscopic myomectomy compared to uncontained power morcellation. We were unable to determine the effects of in-bag morcellation on intraoperative complications as no events were reported in either group. We are uncertain if in-bag morcellation improves total operative time or ease of morcellation compared to control. Regarding morcellation operative time, the quality of the evidence was also very low and we cannot be certain of the effect of in-bag morcellation compared to uncontained morcellation. No cases of posto...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
This is the case of a 50-year-old G3P3003 peri-menopausal woman who presented for evaluation for abnormal uterine bleeding, found to have uterine leiomyomas. Her past medical history was notable for an unclear, self-reported diagnosis of pelvic congestion syndrome requiring pelvic embolization. The patient opted for definitive surgical management and she underwent an uncomplicated total laparoscopic hysterectomy and bilateral salpingectomy. Intraoperative findings were notable for migration and erosion of her previously placed embolic coils along the left external iliac vessels (Fig.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecology Source Type: research
Publication date: Available online 20 April 2020Source: Case Reports in Women's HealthAuthor(s): Christopher Walker, Kaitlyn Banning, Courtney Ritchie, Christopher Kliethermes
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
Journal of Gynecologic Surgery, Ahead of Print.
Source: Journal of Gynecologic Surgery - Category: OBGYN Authors: Source Type: research
We describe a 56-year-old woman with BMD who was scheduled for laparoscopic hysterectomy and bilateral adnexectomy under general anesthesia due to a mass in the uterus. The patient was diagnosed with BMD 20 years back and reported that during this period, she was able to walk slowly with help during her daily life. Additionally, she also had a history of hypertension since 4 years and type 2 diabetes mellitus since 2 years. Diagnosis: The patient was postmenopausal and presented with abnormal uterine bleeding and elevated CA125. Abdominal ultrasonography revealed diffuse enlargement of the uterus and hypoechoic internal...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Single-incision laparoscopic surgery (SILS) is an exciting new modality in the field of minimal access surgery that provides the advantage of further reducing the number of scars of standard laparoscopy. While there are case reports of single incision laparoscopic surgery for adnexal pathology in this population, there are none in regards to treatment of uterine pathology such as leiomyoma. This case illustrates the feasibility of single incision laparoscopic surgery for uterine pathology in the pediatric and adolescent population.
Source: Journal of Pediatric and Adolescent Gynecology - Category: OBGYN Authors: Source Type: research
AbstractIntroductionOvarian endometriosis is the most common type of endometriosis (EM), affecting more than 40% of women with EM. Currently, surgical intervention is still controversial in infertile patients with ovarian endometriosis, especially in those with stage  III–IV EM. Very few studies have been done to analyze long-term pregnancy results in patients with endometrioma more than 5 years after surgery. Therefore, the aim of this study was to explore the pregnancy outcomes and the related factors in patients with endometrioma and stage III–IV endom etriosis during a long-term follow-up pos...
Source: Advances in Therapy - Category: Drugs & Pharmacology Source Type: research
Background: Leiomyomas are common in women of reproductive age, for whom treatment-stratification can be challenging. We assessed factors influencing pre-operative selection of surgical intervention and compare outcomes. Patients and Methods: A literature review was performed and surgical interventions for fibroids at a London hospital (2015-2018) were retrospectively examined. Outcomes assessed were estimated blood loss, length of stay (LOS) and complications. Data were analysed using univariate non-parametric inferential statistics. Results: A total of 258 cases were identified. Estimated blood loss was statistically sig...
Source: In Vivo - Category: Research Authors: Tags: Clinical Studies Source Type: research
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