Fibroids

Intramural fibroid and fertility—to operate or not

Abstract   Small intramural fibroids in subfertile women pose a clinical challenge. Based on the FIGO classification, types 3 and 4 are intramural fibroids. There are many reasons why intramural fibroids causes infertility but the only measurable cause is uterine peristalsis. It is not known why some patients with intramural fibroids have increased uterine peristalsis. …

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Laparoscopy – Locating fibroids during Laparoscopic Myomectomy

Removal of fibroids by laparoscopy (Laparoscopic Myomectomy) is perhaps the most tedious of all laparoscopic surgeries. There are many steps namely: Devascularize the uterus Removal of the fibroids Repair the defect Removal of the fibroid/s by morcellation My biggest fear when performing myomectomy by laparoscopy is missing fibroids. There are several strategies for not missing …

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