Description

This Laparoscopic Video demonstrates the Laparoscopic Removal of a Large Posterior Cervical Fibroid. Compared to myomas that occur in the uterine corpus, cervical myomas are closer to other organs such as the bladder, ureter, and rectum, and the approach needs to be modified, as the organs that have to be considered differ depending on the location of the myoma. Surgical difficulties in laparoscopy associated with these cases are, poor access to the operative field, difficulty in suturing the repairs, increased blood loss, and distortion of the anatomy of the vital neighboring structures in the pelvic cavity. Laparoscopic Myomectomy and Laparoscopic Hysterectomy have been advocated over traditional laparotomy for various benefits in the case of uterine leiomyoma. With the advances in laparoscopic techniques, almost all uterine myomas in the uterine corpus can be treated using laparoscopic myomectomy. However, the treatment of cervical myoma by laparoscopic operation remains crucial. It is essential to establish techniques for safety in operative laparoscopy, for different types of cervical myomas. Compared to myomas that occur in the uterine corpus, cervical myomas are closer to other organs such as the bladder, ureter, and rectum, and the approach needs to be modified, as the organs that have to be considered differ depending on the location of the myoma. Surgical Laparoscopic difficulties associated with these cases are, poor access to the operative field, difficulty in suturing the repairs, increased blood loss, and distortion of the anatomy of the vital neighboring structures in the pelvic cavity.