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This photo was taken during a
cesarean section surgery.
Description:
There are
two (2) large fibroids that have grown together totaling about 25cm (too
large to measure completely on an ultrasound scan). The fibroids are on a stalk, called pedunculated fibroids, and can be removed by an abdominal myomectomy, or possibly a laparoscopic myomectomy. Definitions: Pedunculated fibroid - fibroids growing on a stalk, which is called a peduncle. This can be a subserosal pedunculated fibroid, growing on the outside of the uterus, or a submucosal fibroid, growing into the endometrial cavity. The stalk can get twisted which can cause severe pain, although this is extremely rare. Abdominal Myomectomy (laparotomy) – a surgical procedure to cut fibroids out of the wall of the uterus. This is the procedure usually chosen by women who want to preserve fertility and/or preserve their uterus. The major drawback to the procedure is that the fibroids may come back. (Recurrence rates vary tremendously, but average 20%. Young women and women with many myomas have a greater risk of recurrence than older women or women with just a few fibroids.) Recovery period 4 - 6 weeks. Laparoscopic Myomectomy – A procedure where a doctor inserts a small device, laparoscope, through an incision in the abdomen to remove the uterine fibroids. Recovery period 1 - 3 weeks. Hysteroscopic Myomectomy – A small device, hysteroscope, is inserted through the vagina and into the uterus to remove uterine fibroids. (The recovery period could be as little as a few days for this procedure.) Hysteroscopic resection: Recovery period 1 - 3 days.
More Pregnancy information on HFF (site map). |
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Last modified: Saturday November 08, 2008 | |