International Journal of Infertility & Fetal Medicine

Register      Login

VOLUME 2 , ISSUE 2 ( May-August, 2011 ) > List of Articles


Laparoscopic Myomectomy for Multiple Submucous Myomas

Rakesh Sinha, Seema Gupta, Pratima Kadam, Meenakshi Sundaram, Nupur Sood, Sharda Adlakha

Citation Information : Sinha R, Gupta S, Kadam P, Sundaram M, Sood N, Adlakha S. Laparoscopic Myomectomy for Multiple Submucous Myomas. Int J Infertil Fetal Med 2011; 2 (2):85-87.

DOI: 10.5005/jp-journals-10016-1024

License: CC BY-NC 4.0

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2011; The Author(s).


We report an interesting case of multiple submucous fibroids which was removed by laparoscopic myomectomy. The patient presented with severe menorrhagia and a large uterus of clinically 24 weeks size. She was 29 years and nulliparous. The ultrasonography showed multiple echoes in the endometrial cavity. We did a diagnostic hysteroscopy and found the uterine cavity studded with multiple fibroids of varying sizes. We did a laparoscopy and removed 64 submucous fibroids laparoscopically. We report this interesting case where we removed the submucous fibroids laparoscopically in a single sitting. This reduces the complications of hysteroscopic myomectomy for such large and multiple submucous fibroids. Medline search did not reveal any report of laparoscopic removal of submucous fibroids.

PDF Share
  1. Clinical update of smooth muscle tumors of the uterus. J Minimum Invasive Gynecol 2005;12:401-08.
  2. Treatment of submucous fibroids and outcome of assisted conception. J Am Assoc Gynecol Laparosc 1994;1(4Pt1):307-11.
  3. Parotid area sign: A clinical test for the diagnosis of fluid overload in hysteroscopic surgery. J Minim Invasive Gynecol 2007;14:161-68.
  4. Safe entry techniques during laparoscopy. J Minim Invasive Gynecol 2005;12:463-65.
  5. Laparoscopic myomectomy: Enucleation of the myoma by morcellation while it is attached to the uterus. J Minimum Invasive Gynecology 2005;12:284-89.
  6. Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: Results regarding the degree of intramural extension. Obstet Gynecol 1993;82:736-40.
  7. Hysteroscopic submucous myomectomy. Obstet Gynecol Clin North Am 1995;22:541-58.
  8. Hysteroscopic myomectomy. Curr Opin Obstet Gynecol 1995;7:311-16.
  9. GnRH agonists before surgery for uterine leiomyomas: A review. J Reprod Med 1996;41:415-21.
  10. Myomas and myomectomy. J Minimum Invasive Gynecology 2005;12:443-56.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.