Endoscopic Management of uterine fibroids

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Endoscopic Management of uterine fibroids

  1. 1. Endoscopic Management of uterine fibroids Dr. Pradeep Garg Assistant Professor Dept. of Obst. & Gynae All India Institute of Medical Sciences, New Delhi
  2. 2. Introduction <ul><li>Uterine fibroids are the most common benign tumors of the uterus. </li></ul><ul><li>Management depends on the symptoms,location, </li></ul><ul><li>and size of fibroids and desire to conceive. </li></ul>
  3. 3. Indications of myomectomy <ul><li>Abnormal uterine bleeding not responsive to conservative treatments. </li></ul><ul><li>Growth after monopause. </li></ul><ul><li>High level of suspicion of malignancy. </li></ul><ul><li>Infertility with distortion of endometrial cavity or tubal occlusion. </li></ul><ul><li>Pain or pressure that interfers with quality of life. </li></ul><ul><li>Urinary tract frequency or obstruction. </li></ul><ul><li>Iron deficiency anemia related to abnormal uterine bleeding. </li></ul>
  4. 4. Placement of ports
  5. 5. Placement of ports
  6. 6. Technique of laparoscopic Myomectomy <ul><li>Movie </li></ul>To see videos on laparoscopic myomectomy and other gynae surgeries please logon to www .youtube.com and type Pradeep aiims
  7. 7. Do size , number and location of myomas forms the limiting factors for laparoscopic myomectomy ?
  8. 8. Laparoscopic myomectomty surgical outcome
  9. 9. Adhesions : Lap vs abd myomectomy
  10. 10. Pregnancy out come after laparoscopic Myomectomy
  11. 11. Uterine rupture after laparoscopic Myometomy
  12. 12. <ul><ul><ul><li>For queries mail me at </li></ul></ul></ul><ul><li>pkgarg_in2004@yahoo.com </li></ul>
  13. 13. Thank you

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