Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature (Case Report)

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

ABU HASHIM HATEM; FRCOG -; Al Khiary Moustafa; EL Rakhawy Mohamed

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: International Journal of Reproductive BioMedicine Year:2020 | Volume:18 | Issue:2 Page(s): 135-144

Download Full-Text

View:

235

Download:

118

Cites:

Information Journal Paper

Title

Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature (Case Report)

Author(s)

ABU HASHIM HATEM | FRCOG - | Al Khiary Moustafa | EL Rakhawy Mohamed | Issue Writer Certificate

Keywords

Cervix

Fibroid

Leiomyoma

Myomectomy

Abstract

Background: A huge cervical myoma (rare) in a young woman is a nightmare of every gynecologist owing to the associated technical challenges in performing a Myomectomy. Moreover, the 2014 US Food and Drug Administration prohibited power morcellation during laparoscopic Myomectomy due to the inadvertent spread of occult malignancy and an increased risk of iatrogenic parasitic Leiomyoma negatively affected the overall rate of a minimally invasive surgery. Case: This report described our experience with a case of a huge anterior cervical myoma (473 gr) in a young nulligravida woman who successfully underwent laparotomic Myomectomy. After an initial diagnosis by Magnetic resonance imaging (MRI), we performed preoperative ureteric catheterization. The myoma was enucleated following the footsteps of Victor Bonney, the pioneer of Myomectomy, combined with simple additional steps. We did not use preoperative gonadotropin-releasing hormone analog, intraoperative vasopressin injection, or uterine artery ligation. A 6-month follow-up MRI revealed an intact cervical canal in midline position with no evidence of residual Fibroid. Conclusion: Based on our experience, the review of the relevant literature, and the US Food and Drug Administration’ s prohibition of power morcellation during laparoscopic Myomectomy, a laparotomic Myomectomy for a huge cervical myoma still plays a vital role in fertility preservation. We propose the mnemonic ” MUSIC” as a helpful guide for a consistent strategy: M (preoperative MRI), U (prophylactic ureteric catheterization), S (shell out the myoma following Bonney’ s principles i. e. start-up and stay intracapsular), I (immediate suction to clarify dead space) and C (close the cavity by spiraling stitch).

Cites

No record.

References

No record.

Cite

APA: Copy

ABU HASHIM, HATEM, FRCOG, -, Al Khiary, Moustafa, & EL Rakhawy, Mohamed. (2020). Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature (Case Report). INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), 18(2), 135-144. SID. https://sid.ir/paper/296640/en

Vancouver: Copy

ABU HASHIM HATEM, FRCOG -, Al Khiary Moustafa, EL Rakhawy Mohamed. Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature (Case Report). INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)[Internet]. 2020;18(2):135-144. Available from: https://sid.ir/paper/296640/en

IEEE: Copy

HATEM ABU HASHIM, - FRCOG, Moustafa Al Khiary, and Mohamed EL Rakhawy, “Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature (Case Report),” INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), vol. 18, no. 2, pp. 135–144, 2020, [Online]. Available: https://sid.ir/paper/296640/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops