Abstract
Hysterectomy for large uterine cervical myoma is a challenging surgical procedure due to the limited operative field for lateral and posterior dissections. Existing procedures such as performing myomectomy before hysterectomy or performing retrograde hysterectomy remain suboptimal in expanding the operative field, especially in cases with a huge cervical myoma. In this report, we introduce a new procedure, the “HALF-CUTTING METHOD” which can be used to obtain an adequate surgical field during hysterectomy.
Highlights
Uterine leiomyomas are the most common pelvic tumors in women, with a prevalence of 20% - 40% after the age of 35 years [1]
We introduce a new procedure called the “HALF-CUTTING METHOD” which can be used to obtain an optimal surgical field for lateral and posterior dissections during hysterectomy for large cervical myoma
We introduce a new procedure, termed “HALF-CUTTING METHOD” which can be used during hysterectomy for large cervical myoma
Summary
Uterine leiomyomas are the most common pelvic tumors in women, with a prevalence of 20% - 40% after the age of 35 years [1] Of these cases, 95% occur in the uterine corpus while a frequency of only 0.6% is reported for cervical leiomyomas [2]. Hysterectomy is challenging to perform in cases with a large cervical myoma due to the limited operative field for the complete incision of the parametrium For such cases, previous reports have suggested performing myomectomy before hysterectomy or performing retrograde hysterectomy to expand the operative field; these procedures are far from optimal. We introduce a new procedure called the “HALF-CUTTING METHOD” which can be used to obtain an optimal surgical field for lateral and posterior dissections during hysterectomy for large cervical myoma
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