Abstract
Laparoscopic myomectomy is minimally invasive treatment for patients suffering from
fibroids, especially those wishing to maintain their fertility sparing potential.
While this surgery requires intensive training in surgical skills such as intracorporeal
suturing and specimen extraction, patients can also expect less adhesion and a quick
return to normal activity. This surgery can be broken into three stages, each presenting
its own specific and unique challenges—enucleation, reapproximation of the myoma bed,
and specimen extraction. To prepare for the broad spectrum of cases where the size
and number of fibroids can differ greatly, we have mastered several techniques for
each stage of the procedure. To keep the surgery safe, we train for unexpected scenarios
by practicing minimally invasive repair and reconstruction techniques. By following
basic tenets and understanding the laparoscopic anatomy, we define the targets and
boundaries of our dissection to ensure completeness. In this paper, techniques for
the enucleation, reapproximation, and extraction will be presented in detail.
Keywords
laparoscopy - myomectomy - less adhesion - intracorporeal suturing - specimen extraction
- fibroids
