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Published on: January 17, 2019
Laparoscopic myomectomy for posterior cervical myoma: authors' experience and strategy
Weifeng Zhang1, Danni Wang1, Ge Xu1
1Department of Gynecology, Affiliated Women and Children's Hospital of Ningbo University Ningbo 315012, Zhejiang, China.
Objectives:
Posterior cervical myoma poses a challenge for gynecologic surgeons, especially in women who want to preserve their fertility. The objective of this study is to summarize our experience with and strategy for this difficult situation.
Methods:
Between July 2019 and June 2021, 13 patients with posterior cervical myoma underwent laparoscopic myomectomy in our department. In addition to using the conventional strategy for laparoscopic myomectomy, other measures such as uterine suspension and preliminary exposure of vital structures, including the uterine artery and ureter, were implemented to enhance safety and improve efficacy. The perioperative outcomes for these patients were retrospectively evaluated.
Results:
All surgeries were completed successfully with no conversion to laparotomy. There were no intraoperative complications or needs for blood transfusion. Uterine suspension was performed in all cases, while preliminary exposure of the uterine artery and ureter was performed in nine cases (69.2%). Uterine artery ligation was necessary in two cases. The mean surgical duration was 78.5 ± 12.3 minutes, mean blood loss was 54.2 ± 11.9 mL, and the mean specimen weight was 171.5 ± 59.8 g. Histopathologic analysis revealed leiomyomas in all cases. The postoperative course and follow-up were uneventful.
Conclusion:
By uterine suspension and preliminary exposure of vital structures, including the uterine artery and ureter, laparoscopic myomectomy for posterior cervical myoma can be performed safely.
