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Laparoscopic Myomectomy.
Surg J (N Y). 2020 May; 6(Suppl 1):S35-S43.SJ

Abstract

Laparoscopic myomectomy is minimally invasive treatment for patients suffering from fibroids, especially those wishing to maintain their fertility sparing potential. While this surgery requires intensive training in surgical skills such as intracorporeal suturing and specimen extraction, patients can also expect less adhesion and a quick return to normal activity. This surgery can be broken into three stages, each presenting its own specific and unique challenges-enucleation, reapproximation of the myoma bed, and specimen extraction. To prepare for the broad spectrum of cases where the size and number of fibroids can differ greatly, we have mastered several techniques for each stage of the procedure. To keep the surgery safe, we train for unexpected scenarios by practicing minimally invasive repair and reconstruction techniques. By following basic tenets and understanding the laparoscopic anatomy, we define the targets and boundaries of our dissection to ensure completeness. In this paper, techniques for the enucleation, reapproximation, and extraction will be presented in detail.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama-ken, Japan.Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama-ken, Japan.Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama-ken, Japan.Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama-ken, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32399488

Citation

Andou, Masaaki, et al. "Laparoscopic Myomectomy." Surgery Journal (New York, N.Y.), vol. 6, no. Suppl 1, 2020, pp. S35-S43.
Andou M, Yanai S, Shirane A, et al. Laparoscopic Myomectomy. Surg J (N Y). 2020;6(Suppl 1):S35-S43.
Andou, M., Yanai, S., Shirane, A., & Kanno, K. (2020). Laparoscopic Myomectomy. Surgery Journal (New York, N.Y.), 6(Suppl 1), S35-S43. https://doi.org/10.1055/s-0039-3401027
Andou M, et al. Laparoscopic Myomectomy. Surg J (N Y). 2020;6(Suppl 1):S35-S43. PubMed PMID: 32399488.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic Myomectomy. AU - Andou,Masaaki, AU - Yanai,Shiori, AU - Shirane,Akira, AU - Kanno,Kiyoshi, Y1 - 2020/03/03/ PY - 2020/5/14/entrez KW - fibroids KW - intracorporeal suturing KW - laparoscopy KW - less adhesion KW - myomectomy KW - specimen extraction SP - S35 EP - S43 JF - Surgery journal (New York, N.Y.) JO - Surg J (N Y) VL - 6 IS - Suppl 1 N2 - Laparoscopic myomectomy is minimally invasive treatment for patients suffering from fibroids, especially those wishing to maintain their fertility sparing potential. While this surgery requires intensive training in surgical skills such as intracorporeal suturing and specimen extraction, patients can also expect less adhesion and a quick return to normal activity. This surgery can be broken into three stages, each presenting its own specific and unique challenges-enucleation, reapproximation of the myoma bed, and specimen extraction. To prepare for the broad spectrum of cases where the size and number of fibroids can differ greatly, we have mastered several techniques for each stage of the procedure. To keep the surgery safe, we train for unexpected scenarios by practicing minimally invasive repair and reconstruction techniques. By following basic tenets and understanding the laparoscopic anatomy, we define the targets and boundaries of our dissection to ensure completeness. In this paper, techniques for the enucleation, reapproximation, and extraction will be presented in detail. SN - 2378-5128 UR - https://www.unboundmedicine.com/medline/citation/32399488/Laparoscopic_Myomectomy DB - PRIME DP - Unbound Medicine ER -
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