2- port myomectomy technique for uterus adherent to the anterior abdominal wall

Abstract

To describe a 2 port myomectomy technique in the setting of extensive adhesions aiming for fertility preservation. Our patient is a 40 year old female G3P2012 presenting with symptomatic fibroids with a history of prior C-section. Her MRI showed extensive adhesions requiring specific surgical techniques. Using a 2 port method and gel point mini, lysis of adhesions was performed. Enucleation of fibroids followed. This multistep process ensures hemostatic and efficient myomectomies without jeopardizing the integrity of the endometrium. This case is an example of how reduced port technique can be utilized in complex fertility preserving techniques.