Laparoscopy Myomectomy for Submucous Fibroid in Patient with Previous 3x Caesarean Section

SUSIANTO, INDRA ADI and Purwiandari, Hervyasti Laparoscopy Myomectomy for Submucous Fibroid in Patient with Previous 3x Caesarean Section. Laparoscopy Myomectomy for Submucous Fibroid in Patient with Previous 3x Caesarean Section, 1 (1).

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Abstract

Background : The most frequent benign tumours in females are fibroids which are muscular and classically seen throughout the middle and later fertile years of reproductive cycle. These tumours usually arise from the smooth muscle layer of the uterus. The surgical option for submucous uterine fibroid is either myomectomy or hysterectomy, but nowadays when women have the freedom to choose, we can offer the best for them. Cases Presentation: Submucous uterine fibroids tumours are the fibroids situated on inner side of the uterus under the inner lining of the uterine cavity. This type of fibroid usually appears as a single fibroid. Transvaginal Saline infusion sonohysterography finding showed massive soft tissue mass with diameter 6,2 cm II Submucous fibroid >50% uterine wall invasion originating from uterine cavity type. This article demonstrates a case of a 42 year-old premenopausal lady diagnosed heavy bleeding with painful mass in lower abdomen with pain, gradually increasing abdominal size with speedy growth in the past 6 months connected with difficulty of breathing and significant anaemia. The Lasmar’s pre-surgical score is 8, so an alternative approach non hysteroscopy technique,the laparoscopy myomectomy is considered . Conclusions : Surgical excision of fibroid tumour was done. Post operatively patient recovery was uneventful.

Item Type: Article
Subjects: 500 Science
Depositing User: Mr Indra Adi Susianto
Date Deposited: 09 Mar 2021 03:58
Last Modified: 09 Mar 2021 03:58
URI: http://repository.unika.ac.id/id/eprint/23122

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