Cervical Fibroids: A Surgical Challenge
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Leiomyoma is the most common of all uterine and pelvic tumors. The incidence of leiomyoma is 20% in the reproductive age group, but only 1-2% are found in the cervix. Cervical fibroid develops usually in the supravaginal part of cervix. The symptoms most commonly presented are retention of urine, menstrual abnormalities, constipation, and sometimes can present only as an abdominal mass. Large cervical fibroids are rare and can present with surgical difficulties at the time of either myomectomy or hysterectomy, and have an increased risk of urinary tract injuries and intra operative bleeding. We hereby present four such cases of large cervical fibroid, in women of varying parity from 0 – 3 who underwent a hysterectomy successfully. Dissecting and enucleating a large fibroid (whether cervical or uterine) by limiting the dissection to within the capsule of the fibroid is a key surgical technique to prevent ureteric injury in addition to careful dissection of ureters and bladder and clamping any pedicle with keeping ureters under direct vision. We thereby conclude with the note, that large cervical fibroids are a very rare scenario and require an expert hand to operate them to avoid blood loss, prevent inadvertent injury to ureters or the bladder.
Authors and Affiliations
*Sanchaya Selvaraj1, O. Syamala2, . . , , G. Usha Rani3,
Keywords
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- EP ID EP365929
- DOI 10.9790/0853-1703016870
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