Abstract
Laparoscopic myomectomy (LM) is a minimally invasive surgery. However, several complications
may occur in cases of extremely large myomas. For example, it can be difficult to
acquire a full visual field, and the operation is limited by both technical and physiological
restrictions. In addition, the volume of intraoperative bleeding is often increased
in comparison to typically sized myomas; therefore, surgical indications are limited
for technical reasons and for ensuring safety of the patient. Suturing and ligation
techniques, which are indispensable in LM, are difficult procedures to perform. If
clinicians are not confident in performing these procedures or experience difficulty
in controlling bleeding, then they can alternatively choose to make a small incision
in the abdominal wall and perform a procedure called laparoscopically assisted myomectomy.
In this article, we describe the process of effectively using LM in cases with giant
myomas.
Keywords
laparoscopic myomectomy - myomas - laparoscopic surgery - malignant tumor - surgical
procedure - fibroids
