Study on Conversion Rate and Complications of Laparoscopic Myomectomy | Chapter 6 | Highlights on Medicine and Medical Research Vol. 12

 The goal of this study was to determine the conversion rate and complications associated with laparoscopic myomectomy. Material and Methods: From December 2015 to March 2018, a retrospective review of 43 laparoscopic myomectomy cases performed at Vinayaka Missions Medical College & Hospital was conducted. Demography, myomectomy symptoms, the location and quantity of fibroids, the operation done, the difficulties and complications encountered, and the need for conversion to open surgery were all investigated. On 43 individuals, a total of 108 myomas were excised. The average age of patients receiving laparoscopic myomectomy was 32.16 years. In 24 patients, there was only one fibroid. Only five patients had more than four fibroids. The greatest fibroid was less than 5 cm in 8 cases, 6-12 cm in 6 others. There are 34 women in all. One patient had a 15-centimeter fibroid. Eighty percent of the 108 fibroids excised were intramural. There was only one laparotomy conversion. Two patients suffered significant blood loss, and eight patients required blood transfusions during or after surgery. There are a total of 34 women in the group. A 15-centimeter fibroid was found in one patient. The intramural fibroids accounted for 80% of the 108 fibroids removed. Only one laparotomy conversion occurred. Two of the patients lost a lot of blood, and eight of them needed blood transfusions during or after surgery.

Author (s) Details

Dr. G. Ambujam
Vinayaka Mission’s Medical College & Hospital, Karaikal, Vinayaka Mission’s Research Foundation (DU), Salem, India

Dr. Alla Satyanarayana Reddy
Vinayaka Mission’s Medical College & Hospital, Karaikal, Vinayaka Mission’s Research Foundation (DU), Salem, India.

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Study on Reproductive Performance of Women with Fibroids | Chapter 5 | Highlights on Medicine and Medical Research Vol. 12

 Although there is a link between fertility and fibroid, there is no clear cause-and-effect relationship. Infertility clinics and referral hospitals provide the majority of the research. A retrospective investigation was conducted in a medical facility with direct patients from a rural poor socioeconomic community. The reproductive performance of 70 fibroids-affected women was compared to that of an age-matched group of women who attended Gynecological Outpatients. The fecundity of fibroid-affected women is 2.46, compared to 2.56 in healthy women. While the rate of conception in women with sub mucous fibroids is slightly greater than in controls, the live birth rate is significantly lower. When compared to women without submucous fibroids, pregnancy loss is substantially doubled in women with submucous fibroids. Women with non-submucosal fibroids performed exactly as well as controls. As a result, we can assume that women with submucous fibroids lose more pregnancies and attempt more conceptions in their quest for children. There is a well-established link between fibroids and fertility and reproductive performance.

Author (s) Details

Dr. Alla Satyanarayana Reddy
Vinayaka Missions Medical College & Hospital, Karaikal, Vinayaka Mission`s Research Foundation (DU), Salem, India.

Dr. B. G. Harish
Vinayaka Missions Medical College & Hospital, Karaikal, Vinayaka Mission`s Research Foundation (DU), Salem, India

View Book :- https://stm.bookpi.org/HMMR-V12/article/view/1367