Minimally Invasive Approach to an 18cm Broad Ligament Myoma

Abstract

Large broad ligament myomas affect the quality of life of patients causing pelvic pain, dyspareunia, bleeding, urinary frequency and changes in bowel habits. Surgical approaches to removing leiomyomas can be done via laparotomy, laparoscopy or the daVinci robot. The route of surgery is influenced by location and size of leiomyomas, prior medical and surgical history, concomitant pathology, patient preference, desire for future fertility and the surgeon's experience. Length of hospital stay, post-operative pain, infection risk and anticipated blood loss are also considerations in determining the appropriate surgical approach.