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Prophylactic Use of Uterine Artery Embolization to Decrease Bleeding in Laparoscopic Myomectomy: A Case Report.

Swarnima Lunge Patil¹, Apoorva Dave¹, Kamlesh Chaudhari¹

¹Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

|February 26, 2024

Summary

This case report details the successful treatment of large uterine fibroids (leiomyomas) using laparoscopic myomectomy preceded by uterine artery embolization. This approach minimized blood loss and preserved fertility in a 33-year-old patient.

Keywords:

hysterectomy interventional radiologists laparoscopic myomectomy leiomyoma uterine artery embolization

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Area of Science:

Gynecology
Interventional Radiology
Surgical Oncology

Background:

Uterine fibroids (leiomyomas) are common benign tumors of the female reproductive system, frequently diagnosed during reproductive years.
Large or multiple fibroids can cause significant symptoms and impact fertility and quality of life.

Observation:

A 33-year-old female presented with abdominal distension due to multiple uterine fibroids.
Imaging confirmed the presence of numerous leiomyomas within the uterus.

Findings:

Successful management involved a combination of uterine artery embolization (UAE) followed by laparoscopic myomectomy.
Pre-operative UAE significantly reduced blood loss during the surgical procedure.

Implications:

This case highlights the benefit of a multidisciplinary approach involving gynecologists, surgeons, and interventional radiologists.
Uterine artery embolization prior to myomectomy is an effective strategy for managing large uterine fibroids, especially when fertility preservation is desired.
Minimally invasive techniques combined with pre-procedural embolization offer a viable treatment option for symptomatic uterine leiomyomas.