Alumi Laparoscopic Discussion Board

Port position in posterior wall myoma
Discussion in 'All Categories' started by Dr Mohammad Atieh - Aug 15th, 2016 4:13 am.
Dr Mohammad Atieh
Dr Mohammad Atieh
Dear sir,

I want to sake regarding best sites for port position in laparoscopic myomectomy in posterior wall 6 cm myoma.


Dr Mohammad
re: Port position in posterior wall myoma by Dr R K Mishra - Aug 15th, 2016 8:19 am
Dr R K Mishra
Dr R K Mishra
Dear Dr Mohammad

In posterior wall Myoma post position will be just like Total Laparoscopic Hysterectomy as the target of dissection is not moved high up. However if the size of uterus is big it is better to put supra-umbilical port so that one you will use uterine manipulator or myoma screw and give the traction towards the upper abdomen uterus should not touch the telescope.

You can apply Baseball Diamond concept and two ipsilateral and one contralateral port would be sufficient.

With regard

Dr R K Mishra
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