Correlation between Pelvic Diameter and Different Surgical Procedures for Exogenous Cervical Leiomyoma

Area of Science:

• Gynecology
• Surgical Oncology
• Radiology

Background:

• Exogenous cervical leiomyomas pose challenges in surgical planning.
• Accurate assessment of tumor size relative to pelvic dimensions is crucial for determining surgical approach.

Purpose of the Study:

• To evaluate the clinical utility of pelvic diameter measurements.
• To assess the correlation between pelvic diameter and surgical difficulty in exogenous cervical leiomyomas.
• To determine the optimal surgical plan selection based on pelvic dimensions.

Main Methods:

• Retrospective analysis of 65 patients with exogenous cervical leiomyomas (2012-2021).
• Pelvic MRI was performed pre-surgery.
• Patients were divided into laparoscopic and laparotomy groups based on surgical approach.
• Correlation analysis between pelvic diameter line and clinical indicators.

Main Results:

• Significant differences observed in tumor diameter and tumor-to-pelvic diameter ratio between groups (P < 0.05).
• Laparoscopic group had more myomectomies, higher blood loss.
• Laparotomy group showed higher postoperative temperature and longer exhaust time.

Conclusions:

• The tumor diameter to pelvic diameter ratio is a key indicator for selecting surgical plans in exogenous cervical leiomyomas.
• This ratio can help evaluate surgical difficulty and guide the choice of the most suitable surgical strategy.