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An effective method using laparoscopy in treatment of upper vaginal leiomyoma.
Fertil Steril. 2020 Jul; 114(1):185-186.FS

Abstract

OBJECTIVE

To introduce an effective approach using laparoscopy in the treatment of upper vaginal leiomyoma.

DESIGN

Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of China Medical University.

SETTING

Hospital.

PATIENT(S)

A 34-year-old woman diagnosed with 5-cm upper vaginal leiomyoma, who had sexual discomfort for 5 years.

INTERVENTION(S)

Using laparoscopy in the treatment of upper vaginal leiomyoma consists of five steps: first lysing the pelvic adhesion; exploring the pelvic cavity and locating the vaginal leiomyoma through gynecologic examination by the assistant; recognizing the position between leiomyoma and ureter and carefully dissociating ureter while avoiding injury; completely enucleating and resecting the vaginal leiomyoma using laparoscopy; and exploring the ureter, rectum, and uterine artery to make sure there was no injury.

MAIN OUTCOME MEASURE(S)

Value and feasibility of using laparoscopy in treatment of upper vaginal leiomyoma.

RESULT(S)

The vaginal leiomyoma was removed successfully using laparoscopic operation and the operative time was 95 minutes. In the follow-up period, the patient did not report any symptoms, and she became pregnant at the time of the 20th month after operation and underwent a vaginal delivery at full-term.

CONCLUSION(S)

For upper vaginal leiomyoma treatment, laparoscopic operation could present a clear visual field to avoid injury of bladder, ureter, rectum, and uterine artery. Laparoscopic operation is safe and feasible in treatment of upper vaginal leiomyoma.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. Electronic address: yangq@sj-hospital.org.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32622409

Citation

Zhang, Ning-Ning, et al. "An Effective Method Using Laparoscopy in Treatment of Upper Vaginal Leiomyoma." Fertility and Sterility, vol. 114, no. 1, 2020, pp. 185-186.
Zhang NN, Li D, Chen SL, et al. An effective method using laparoscopy in treatment of upper vaginal leiomyoma. Fertil Steril. 2020;114(1):185-186.
Zhang, N. N., Li, D., Chen, S. L., Zuo, N., Sun, T. S., & Yang, Q. (2020). An effective method using laparoscopy in treatment of upper vaginal leiomyoma. Fertility and Sterility, 114(1), 185-186. https://doi.org/10.1016/j.fertnstert.2020.03.026
Zhang NN, et al. An Effective Method Using Laparoscopy in Treatment of Upper Vaginal Leiomyoma. Fertil Steril. 2020;114(1):185-186. PubMed PMID: 32622409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An effective method using laparoscopy in treatment of upper vaginal leiomyoma. AU - Zhang,Ning-Ning, AU - Li,Da, AU - Chen,Si-Lei, AU - Zuo,Na, AU - Sun,Tian-Shui, AU - Yang,Qing, PY - 2019/12/18/received PY - 2020/03/10/revised PY - 2020/03/19/accepted PY - 2020/7/6/entrez PY - 2020/7/6/pubmed PY - 2020/7/6/medline KW - Vaginal leiomyoma KW - laparoscopy KW - upper vagina SP - 185 EP - 186 JF - Fertility and sterility JO - Fertil. Steril. VL - 114 IS - 1 N2 - OBJECTIVE: To introduce an effective approach using laparoscopy in the treatment of upper vaginal leiomyoma. DESIGN: Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of China Medical University. SETTING: Hospital. PATIENT(S): A 34-year-old woman diagnosed with 5-cm upper vaginal leiomyoma, who had sexual discomfort for 5 years. INTERVENTION(S): Using laparoscopy in the treatment of upper vaginal leiomyoma consists of five steps: first lysing the pelvic adhesion; exploring the pelvic cavity and locating the vaginal leiomyoma through gynecologic examination by the assistant; recognizing the position between leiomyoma and ureter and carefully dissociating ureter while avoiding injury; completely enucleating and resecting the vaginal leiomyoma using laparoscopy; and exploring the ureter, rectum, and uterine artery to make sure there was no injury. MAIN OUTCOME MEASURE(S): Value and feasibility of using laparoscopy in treatment of upper vaginal leiomyoma. RESULT(S): The vaginal leiomyoma was removed successfully using laparoscopic operation and the operative time was 95 minutes. In the follow-up period, the patient did not report any symptoms, and she became pregnant at the time of the 20th month after operation and underwent a vaginal delivery at full-term. CONCLUSION(S): For upper vaginal leiomyoma treatment, laparoscopic operation could present a clear visual field to avoid injury of bladder, ureter, rectum, and uterine artery. Laparoscopic operation is safe and feasible in treatment of upper vaginal leiomyoma. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/32622409/An_effective_method_using_laparoscopy_in_treatment_of_upper_vaginal_leiomyoma L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(20)30302-2 DB - PRIME DP - Unbound Medicine ER -
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