Abstract
Study Objective: To demonstrate the use of laparoscopy in a complex case of benign extrauterine leiomyomatosis. Design: Case report. Setting: Operating room at an academic hospital. Patient in dorsal lithotomy position. Patients or Participants: 46yo G0 with symptomatic fibroid uterus presenting for definitive management after failed laparoscopic myomectomy and uterine fibroid embolization. Interventions: Laparoscopic total hysterectomy, bilateral salpingectomy, removal of extrauterine fibroids. Measurements and Main Results: Outcomes evaluated included surgical time, EBL, length of stay in hospital, surgical complications, intraoperative and postoperative complications, pathology. EBL for the case was 50cc. Operative time was 5 hours. Final pathology was benign smooth muscle with degenerative changes. Total stay in the hospital was zero days. There were no intraoperative or postoperative complications. Conclusion: Laparoscopic removal of benign extrauterine leiomyomatosis resulted in improved outcomes as laparoscopy proved essential for adequate visualization. Additionally, patient was discharged on day of surgery without intraoperative or postoperative complications.
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