This book on fibroid uterus focuses on surgical challenges in minimal access surgery that a surgeon faces while treating this condition. This book explores the role of various imaging modalities in both diagnosis and planning of the treatment. Various surgical techniques, such as hysteroscopy, laparoscopy, and robotic are discussed which will help readers to understand the pros and cons of each one. Teaching practical tips from experts regarding these procedures, the book aims to help surgeons make clinical decisions while they choose surgical procedures for their patients in various clinical settings. The book highlights both the conservative (techniques of myomectomy) and hysterectomy by various methods for treating fibroids.

Key Features

• • How to use various imaging modalities for preoperative evaluation of fibroids

• • Issues in preoperative counseling and consent before surgery for fibroids

• • Overview of surgical treatment of fibroids

• • Individual chapters on practical tips by experts for various surgical techniques used for both myomectomy and hysterectomy

• • Discusses the controversy in morcellation and how to perform it safely

• • Covers the problem of parasitic fibroids that have increased in recent times

• • Discusses issues like breach in endometrial cavity during myomectomy, surgery for adenomyosis, uterine rupture and recurrence after myomectomy

• When to call it a day and convert from laparoscopy to laparotomy

Contents

Chapter 1: Counseling and Consent Challenges in a Woman with Fibroid Uterus
Chapter 2: Preoperative Ultrasound Imaging in Fibroid Uterus
Chapter 3: MRI before Myomectomy: Flow Can It Help You?
Chapter 4: Fibroid and Infertility: When to Suggest Myomectomy?
Chapter 5: Surgical Treatment of Fibroids
Chapter 6: Reducing Intraoperative Blood Loss in Myomectomy: Better to Prepare and Prevent than Repair and Repent
Chapter 7: Hysteroscopic Myomectomy: Resection Techniques and Safety
Chapter 8: Laparoscopic-Assisted Myomectomy
Chapter 9: Robot-Assisted Myomectomy
Chapter 10: Robotic Myomectomy: Tips and Tricks
Chapter 11: Cervical Fibroids: Techniques for Myomectomy and Hysterectomy
Chapter 12: Broad Ligament Fibroids: Techniques for Myomectomy and Hysterectomy
Chapter 13: Breach of the Endometrial Cavity during Myomectomy and Its Implications for Subsequent Fertility
Chapter 14: Predictors of Uterine Rupture and Recurrence after Myomectomy
Chapter 15: Secondary Hemorrhage after Myomectomy
Chapter 16: Laparoscopic Surgery for Fibroid Uterus: When to Convert to Laparotomy
Chapter 17: Cesarean Section in the Setting of Fibroid Uterus and Cesarean Myomectomy
Chapter 18: Adenomyomectomy
Chapter 19: Morcellation Techniques for Fibroid Uterus
Chapter 20: Parasitic Fibroids
Chapter 21: Laparoscopic Hysterectomy in the Setting of Large Fibroids
Chapter 22: Robotic Hysterectomy in Fibroid Uterus