Fibroid Uterus : Surgical Challenges in Minimal Access Surgery book cover
1st Edition

Fibroid Uterus
Surgical Challenges in Minimal Access Surgery

ISBN 9780367247324
Published December 7, 2020 by CRC Press
200 Pages 204 Color & 14 B/W Illustrations

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Book Description

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

Table of Contents

Table of Contents

Chapter 1 Counseling & Consent challenges in a woman with fibroid uterus

Rooma Sinha and Bana Rupa

Chapter 2 Pre-operative Ultrasound imaging in fibroid uterus

Mamta Deendayal, Anupama Deenadayal, Hema Desai and Aarti Deenadayal Tolani

Chapter 3 MRI Before Myomectomy- How can it help you?

Ravikant Prasad

Chapter 4 Fibroid and infertility- when to suggest myomectomy?

Aarti Deenadayal Tolani, Kadambari, Hema Desai, Suhasini Donthi and Mamata Deenadayal

Chapter 5 Surgical treatment of fibroids

Ibrahim Alkatout and Liselotte Mettler

Chapter 6 Reducing intraoperative blood loss in myomectomy

Sunita R. Tandulwadkar, Manish Y. Machave and Abhishek Chandavarkar

Chapter 7 Hysteroscopic Myomectomy- Resection techniques and Safety

Sergio Haimovich

Chapter 8 Laparoscopic Assisted myomectomy

Rooma Sinha, Bana Rupa and Neha Singh

Chapter 9 Robot assisted myomectomy

Arnold Advincula and Chetna Arora

Chapter 10 Robotic Myomectomy Tips & Tricks

Cela Vito, Braganti Francesca, and Malacarne Elisa

Chapter 11 Cervical fibroids – Techniques for myomectomy & Hysterectomy

Nutan Jain and Shalini Singh

Chapter 12 Broad ligament fibroid - Techniques for myomectomy & Hysterectomy

Nutan Jain and Shalini Singh

Chapter 13 Breach of endometrial cavity- Implications?

Olarik Musigavong

Chapter 14 Predictors of uterine rupture & Recurrence after myomectomy

Manpreet Kaur

Chapter 15 Secondary hemorrhage after myomectomy

Latika Chawla

Chapter 16 Laparoscopic Surgery for Fibroid Uterus- When to convert to Laparotomy

Rooma Sinha

Chapter 17 Caesarean section in the setting of fibroid uterus & Caesarean myomectomy

Andrea Tinelli, Marina Vinciguerra, Antonio Malvasi and Michael Stark

Chapter 18 Adenomyomectomy

Anshumala Shulkla Kulkarni and Fouzia Hayat

Chapter 19 Morcellation techniques for fibroid uterus

Prakash Trivedi, Soumil Trivedi, Anjali Sonawane and Aditi Parikh

Chapter 20 Parasitic fibroids

Rooma Sinha

Chapter 21 Laparoscopic Hysterectomy in the setting of large fibroids

Alphy Puthiyidom

Chapter 22 Robotic Hysterectomy for fibroid uterus

Anupama Bahadur

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Rooma Sinha, MD, Honorary Professor, Gynecology and Associate Professor, Macquarie University, Sydney Australia; Senior Consultant Gynecologist and Minimal Access & Robotic Surgeon, Apollo Health City, Hyderabad, India

Arnold P. Advincula, MD, Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology, Chief of Gynecologic Specialty Surgery, Sloane Hospital for Women; Medical Director, Mary & Michael Jaharis Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York

Kurian Joseph, MD, DGO, Senior Gynecologist & Endoscopic Surgeon and Director, Joseph Hospitals, Chennai, India


This book offers a discussion of the preoperative counseling, diagnosis, and management of fibroids by exploring various imaging modalities and surgical techniques including hysteroscopy, laparoscopy, and robotic surgery and provide a global overview of the evaluation of fibroids along with the surgical nuances in their treatment modalities. This book is suitable for any practicing obstetrics/gynecology generalists who may want to enhance their surgical skills in minimal access surgery for fibroids. This may include those who have a special interest in minimally invasive gynecologic surgery, surgical fellows, and obstetrics/gynecology residents. The authors of the book are well recognized in their fields. The contributors are primarily from India with some from Italy, Germany, Thailand, Switzerland, Australia, and Russia, with a few from the United States. The 22 chapters address issues such as challenges in obtaining proper informed preoperative consent, in the diagnosis of fibroids through various imaging modalities, and in the surgical treatment of fibroids with myomectomy via hysteroscopic, laparoscopic, and robotic approaches. It discusses the
surgical approach to cervical, broad ligament, and parasitic fibroids, includes chapters on how to manage secondary hemorrhage after myomectomy, and provides recommendations on when to convert from laparoscopy to laparotomy. It highlights both the conservative surgical approach with myomectomy and definitive surgery with hysterectomy through laparoscopy, along with a discussion of morcellation techniques.  This book is valuable for its intended audience and meets its teaching objectives.

Lisa Chao, M.D.(University of Texas Southwestern Medical Center)