Strategy of cervical myomectomy under laparoscopy

Effect of oxytocin infusion on reducing the blood loss during abdominal myomectomy: a double‐blind randomised controlled trial

“…2 In 20-50% of patients, fibroids may cause problems such as heavy menstrual bleeding, anaemia, pelvic pain and pressure, and symptoms from extrinsic compression of the colorectal and urinary tract. 4 Myomectomy can be accomplished by laparotomy, laparoscopy, or hysteroscopy (transvaginal) 1,[5][6][7][8] approaches. 4 Myomectomy can be accomplished by laparotomy, laparoscopy, or hysteroscopy (transvaginal) 1,[5][6][7][8] approaches.…”

Limited Efficacy of Uterine Artery Embolization for Cervical Leiomyomas

“…They may be categorized as those that occur at a subserosal location (ie, extracervical type) and those that occur within the cervix (ie, intracervical type). Myomectomy for cervical leiomyoma is empirically difficult and may be specifically complicated by a deep intracervical location or a large myoma size, which increases the risk for blood loss during surgery (14,15). When performing myomectomy for a cervical myoma, care must be taken to avoid injuries to neighboring pelvic structures such as the bladder, rectum, and ureters.…”

Office hysteroscopic cervical myomectomy

“…Cervical myomectomy can be performed abdominally (laparotomy or laparoscopy) or vaginally by hysteroscopy [10]. The route to be used depends on the size and location of fibroids, as well as the experience of the surgeon and staff.…”

“…The literature has few data on the management of cervical myomas, with most referrals regarding cervical myomectomy by laparoscopy route [3,10]. The approach to cervical fibroids by hysteroscopy is possible, mainly on those with little intramural component, and should be done cautiously due to the small wall thickness and short proximity to important structures of the pelvis [3].…”