広靭帯内発育子宮筋腫を腹腔鏡下に核出した7例

概要

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Uterine leiomyomas are clinically present in approximately 12-25% of reproductive age women and represent the most common pelvic tumor.<SUP>1-2</SUP> Subserous myomas originate from the myometrium at the serosal surface of the uterus and sometimes extend between the fold of the broad ligament. Enucleation of a broad ligament tumor is considered to be difficult because of the abundant vascularity. Furthermore ureteral injury can occur. From March 2010 through February 2013, we enucleated those fibroids laparoscopically safely in seven patients; no ureteral damage occurred. However, in one case, a postoperative blood transfusion was required. We discuss a safe procedure for the enucleation of broad ligament fibroids laparoscopically.
日本産科婦人科内視鏡学会の論文