Vaginal Leiomyomas - Safe Steps for Laparoscopic removal: feasibility from 3 case reports

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Vaginal leiomyomas are uncommon tumors in women of reproductive age.
• Surgical treatment for vaginal leiomyomas presents diagnostic and therapeutic challenges.
• The efficacy of a total laparoscopic approach for vaginal leiomyoma removal is not well-established.

Purpose of the Study:

• To detail the step-by-step laparoscopic technique for vaginal leiomyoma excision.
• To present the outcomes of a small series of patients undergoing this procedure.
• To evaluate the feasibility and safety of laparoscopic surgery for vaginal leiomyomas.

Main Methods:

• A total laparoscopic approach was used for vaginal leiomyoma excision in three patients.
• The surgical technique was documented through a narrated video presentation.
• Patient demographics and perioperative outcomes were recorded.

Main Results:

• Total laparoscopic excision was successful in all three cases, with no conversion to laparotomy.
• No major complications were reported post-surgery.
• Average operative time was 146.25 minutes, with an average blood loss of 120 ml.
• Fertility was preserved in all patients.

Conclusions:

• Laparoscopy is a viable surgical option for managing vaginal leiomyomas.
• Further research is required to confirm the safety and effectiveness of this minimally invasive technique.