文章基本信息

标题：Laparoscopic posterior Colpotomy for a Cervico-vaginal Leiomyoma: hymen conservative technique.
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作者：G.S. Wehbe ; M. Doughane ; R. Bitar 等
期刊名称：Facts, Views & Vision in ObGyn
印刷版ISSN：2032-0418
出版年度：2016
卷号：8
期号：3
页码：169-171
出版社：Universa Press
摘要：Background: Leiomyomas are the most common benign tumours of the uterus. The diagnosis, evaluation and treatment of prolapsed pedunculated submucous myoma may need vaginal access compromising sometimes the hymenal integrity. Laparoscopic management of a pedunculated submucous myoma in a Middle Eastern virgin patient is described as a safe alternative. Case: A 20-year-old, nulliparous virgin woman presented to the outpatient clinic for irregular menstrual bleeding of 2 months duration. Imaging revealed a 5×5 cm solid mass in the cervico-vaginal location filling the vagina suggestive of a prolapsed pedunculated submucous leiomyoma. Due to the patient’s desire of preserving her intact hymen, a laparoscopic posterior colpotomy was performed and the mass was removed successfully. Conclusion: Laparoscopic posterior colpotomy, preserving the hymenal integrity in a virgin patient, provides excellent access and visualization and it is a safe tool for the management of a cervico-vaginal pedunculated submucous myoma by a skilled laparoscopic gynaecologic surgeon.
关键词：Laparoscopy; colpotomy; hymen; hymenal integrity; leiomyoma;