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Fibroids in uterus
Discussion in 'All Categories' started by Sushma - Jan 2nd, 2012 5:17 pm.
MRI of the Pelvis
Menorrhagia and dysmenorrheal, multiple large fibroids.
Exam : Routine MRI examination of the pelvis was performed.
No prior MRI study is available for comparison.
Uterus is anteverted. It measures 11.1 X 7.9 cm.
A large fibroid which is subserosal located in the fundal region is identified. This mesures 6.3 X 5.4 cm.
Another fibroid is also seen more so inferiorly also subserosal in the fundal region measuring 3.2 X 2.7 cm.
Another fibroid which is large and exophytic is seen to the right. This is 4.6 X 4.3 cm. Other smaller fibroids are also seen which are primarily subserosal on the right. No submucosal fibroid is identified.
The left ovary contains several folliclesand measures approximately 2.2 X 1.6 cm.
The right overy is displaced laterally and is adjacent to the pedunculated fibroid. It measures in the range of 1.9X 1.6 cm. it also contain few follicles.
There is free fluid identified within the pouch of Douglas which is thought to be physiologic.
No adnexal masses are seen. The ureters are thought to be displaced laterally due to the large bulky uterus. This is bilateral.
Mass effect on the bladder is also due to the large fibroid filled the uterus.
1. Numerous fibroids were identified. Majority appear subserosal and in the fundal region. One is pedunculated and posteriorly located slightly towards the right. The ovaries are displaced laterally as are the ureters bilaterally. Mass effect on the bladder was also apparent.
2. No suspicious adnexal masses are however identified. No lymphadenopathy is noted.
re: Fibroids in uterus by Dr M.K. Gupta - Jan 2nd, 2012 11:08 pm
Dr M.K. Gupta
Dr M.K. Gupta
Dear Sushma

Laparoscopic or Robotic Myomectomy is a good option for the myoma from which you are suffering.

The da Vinci robotic myomectomy is the most advanced surgery possible today and World Laparoscopy Hospital is only institute in India which can provide you this surgery as affordable cost.

The da Vinci surgical robot is really a major advance within the ability to precisely operate through small incisions. As shown below, choices sits at a console (see photo) and looks through a 3-dimensional videocamera.

Removing the entire uterus (hysterectomy) is often done to treat fibroids, but many women are searching for alternatives to hysterectomy when they want children or just do not want to lose their uterus. Unfortunately, many gynecologists are reluctant to recommend myomectomy. As with any procedure, there are both pros and cons to myomectomy. This site will provide information that will help you make an informed decision.

During Robotic myomectomy, choices sits in a special console with hand and foot controls that move the robotic arms during the operation. The arms of the robot are extremely nimble and are manipulated by the surgeon using joystick-like controls. The robot also has a camera that provides the surgeon a magnified 3-D view, called telepresence surgery. Very small blood vessels and nerves can be seen clearly and may be spared. The hand movements from the surgeon are duplicated in the patient through the robot, but on a much smaller scale. The robot allows cutting away tissue, cauterizing blood vessels, and suturing, using needles held by pincer like "needle drivers." The robot's wrist can turn nearly 360 degrees, allowing great flexibility. The robot also eliminates any tremor in a surgeon's hands, and for delicate work, "motion scaling" software reduces a surgeon's actual hand movements to smaller, finer instrument movements. Robot assisted surgery allows the surgeon greater dexterity than traditional laparoscopy. Choices performs the surgery - not the robot. The robot cannot make decisions by itself.

Even though some women with uterine fibroid tumors need to have a hysterectomy, a robotic myomectomy provides other women an opportunity to retain their uterus and subsequently, retain their fertility. Laparoscopic myomectomies often take longer than open abdominal myomectomies, or more to 28% are converted during surgery to an open abdominal incision if the myomas are too large and/or there are many myomas.

The robot assisted procedure is performed with an outpatient basis and ladies can go back to work in in regards to a week. There are many benefits of robotic myomectomy over regular laparoscopic myomectomy: a quicker time to recover, less discomfort and pain, less scaring, less trauma, fewer complications, less blood loss, a low requirement for blood transfusions, reduced chance of infection, shorter hospital stays and faster recoveries. The recovery time is extremely minimal since there is no incision or hysterectomy.

Risks for complications during robot-assisted laparoscopic procedures include: pre-existing heart or lung condition, Obesity, Diabetes, Excessive alcohol intake, Previous abdominal or pelvic surgery. Possible complications include recurrence of fibroids, perforation from the uterus or bowel during surgery, weakened uterine wall, pelvic adhesions that can cause pain or bowel obstruction, infertility and also the requirement for special precautions during pregnancy.

You can get robotic myomectomy performed at our hospital.

With regards

M.K. Gupta
re: Fibroids in uterus by suzanelyk - Feb 8th, 2012 12:39 am
re: Fibroids in uterus by gogolestgpb - Apr 2nd, 2012 10:26 pm
re: Fibroids in uterus by anu - Sep 18th, 2012 6:44 am
I have no problem with menses,when it is delayed, I done mention little bulky uterus with fibroid in fundal region posteriorly & mild enlarge RT ovary with small cyst.My age is 36 years.
Please give me your suggestions for further.
re: Fibroids in uterus by Anne Thomas - Feb 19th, 2013 6:40 am
Anne Thomas
Anne Thomas
my sonography reports state
Uterus is bulky and measures 9x4.5x4.1cm.
There is large fundal subserosal fibroid seen. it measures 10x8x6 cm. It is heterogenous and no evidence of cystic and calcific area within. Endometrial stripe is distroted.
Another small 2 cm anterior wall fibroid is noted.
Right Ovary is normal. Left Ovary is not properly visulaised. IMPRESSION - Bulky uterus with large subserosal fibroid.
Drs here has adviced surgery, please advice. I am 34 year old unmarried.
re: Fibroids in uterus by amanda - Sep 9th, 2014 6:01 pm
Hi CT scan and ultrasound has revealed 4.5x4.5 x6.7 fundal broad based fibroid on left side of uterus near ovary. I'm 53 menopausal due to get MRI soon then to speak to gynae consultant. I'm reluctant to get hysterectomy and am wondering best possible treatment and if there's natural remedy. Symptoms include pelvic pressure, lower backache, burning sensation In ovaries, bloated and constipation. Welcome your comments thank you.

Dear Amanda
In the postmenopausal period normally the fibroids decrease in size and may finally disappear. So keep a care full watch on the fibroid. The symptoms may not be related to the fibroid. You may consult the gynecologist for further advice.

Dr J S chowhan
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