18cm Size Broad Ligament Fibroid Arising from Isthamus

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added:
5 years ago
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7597
specialty:
Gynecology

Case description

DIGNOSIS :- 17 x 12 x 9 cm left adnexal mixechogenic mass. - ? Degenerated S/S fibroid. - ?? Broad Ligament Fibroid. TREATMENT (PLAN OF SURGERY) :- Lap.Myomectomy Lap. Myomectomy done under general anaesthesia given by Dr. Amit and done by Dr. Pravin Kanani. LAPROSCOPY :- - 10/5 MM primary trocher insersion done. - 3 5mm secondary trocher insersion done under guidance of primary trocher. - Adhesion seen & adhesiolysis done with scissor . - fibroid removal done and closer with vicryl no 1(2347) done. - Endometriotic spot, fulguration done at OF, U/S lifament. - Uterus :- Size - Normal ; Apperance - Normal. - POD :- Free - Right tube :- Adherent With Ovary ; Apperance -Dilated. - left tube :- Size - Normal ; Position - Shift to Right Side. - Right ovary :- Size -Normal ; Position - Normal ; Apperance - Normal . - Left ovary :- Size - Normal ; Position - Shift To Right Side. OPERATIVE NOTE :- - 17 x 12 x 9 cm Left Side Broad Ligament Fibroid Seen . - Inj. Vasopresine Given At Site Of Fibroid. - Incision Done By Scissore. - Sub Serous Fibroid Seen. - Incision Done By Hook Needle. - Enucleation Of Fibroid Done By Mayoma Screw. - Suturing Done by Vicryl no 1. - POD Open By Hook Needle . - Fibroids Rmoval Done By POD. - POD Closer Done By Vicryl No 1. - Fulguration Done. - Saline Wash Given . - Drain Kept. - Specimen Send For HPE.

tags: Isthamus Ligament Fibroid


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