Successful removal of 34 fibroids in uterus-preserving myomectomy: a case report

Authors

  • Rakesh Hasabe Department of Obstetrics and Gynaecology, B. K. L. Walawalkar Rural Medical College and Hospital, Ratnagiri, Maharashtra, India
  • Neha S. Tripathi Department of Occupational Therapy, Wingate University, Wingate, NC, USA
  • Kanchan D. Bhoyar Department of Obstetrics and Gynaecology, B. K. L. Walawalkar Rural Medical College and Hospital, Ratnagiri, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20221457

Keywords:

Myoma, Myomectomy, Hystero-laparoscopy, Fibroid

Abstract

When uterine preservation is of the essence, myomectomy is the preferred standard of surgical care for removal of myomas, the commonest tumors of the female genital tract. This case report describes the evaluation and treatment of a 42-year-old female with a multi-fibroid uterus, who desired uterine preservation in order to conceive. Diagnostic hystero-laparoscopy with myomectomy resulted in the removal of 34 leiomyomas of varying sizes from different locations within the uterus. Our case study is of particular importance as it emphasizes that effective removal of even a large number of multiple fibroids is attainable in rural, low-resource settings by strict adherence to the established myomectomy protocol and the achievement of as bloodless an operative field as possible using various available techniques.

Author Biography

Rakesh Hasabe, Department of Obstetrics and Gynaecology, B. K. L. Walawalkar Rural Medical College and Hospital, Ratnagiri, Maharashtra, India

Dr. Rakesh Hasabe is an OBGYN and advanced laparoscopic surgeon in Maharashtra. He is a Member of the National Academy of Medical Sciences and has multiple fellowships in minimal access surgery, assisted reproductive technologies, and advanced gynecological laparoscopy. A national-level gold medalist in minimal access surgery, he is a rising star in gynecology with a fast-growing professional presence because of his successful online educational endeavors to spread awareness, increase access, and provide knowledge about laparoscopy amongst budding surgeons via his YouTube channel and popular social media handles on Instagram and Facebook. He has performed over thousands of advanced gynecological surgeries, including hundreds of minimal access procedures. He is currently an Assistant Professor inOBGYNat BKL Walavalkar Rural Medical College & Hospital in Ratnagiridistric

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Published

2022-05-26

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Section

Case Reports