Ludhiana, July 1, 2014: Uterine fibroids are the most common benign tumours occurring in the women of reproductive age group. The prevalent rates range from 20-50%in the age group of 20-45 years. They are found in 20% of woman in the reproductive age group and in 50% of woman above the age of 35 years. The diagnosis is generally picked up by a pelvic examination or by an ultrasound. The main symptoms of a fibroid include pain abdomen, heavy /painful periods/Infertility.
Uterine myomectomy (surgical removal of fibroid) stays the preferred treatment for women preferring to retain their reproductive function. It has been well documented today that laparoscopic approach offers several advantages as compared to open surgery, such as shorter hospital stay, early recovery, reduced post operative pain, lower risk of adhesions.
“This is a case of a 25 years old unmarried girl who presented to us with a large abdominal mass extending upto the belly button”, said Dr Amit Sofat and Dr Rama Sofat at Dr Rama Sofat Hospital & Dr Ruchika Test Tube Baby Centre Ludhiana. They added on ultrasonography it was diagnosed to be a uterine fibroid measuring 16x16x13cms. The patient was advised key hole surgery using a new technique of in situ morcellation.
Traditionally during laproscopic myomectomy, firstly a fibroid is separated from the uterus, uterus sutured and fibroid removed by morcellation ( ie cutting the fibroid into small tissue bits n removing the tissue from the abdomen).
In a newer technique of in situ morcellation used for this patient, the morcellation is started when the fibroid is still attached to the uterus helping in enucleating the fibroid, decreasing the tumour size, and also creating more space for better viewing and optimum movement of instruments, thereby offering better surgical approach & reduced operating time. The patient was operated by Dr Amit Sofat, Dr Rama Sofat and Dr Ruchika Sofat at Dr Rama Sofat Hospital & Dr Ruchika Test Tube Baby Centre Ludhiana . The patient is recovering well and will be discharged soon, said the doctors.