1st Edition

Fibroid Uterus Surgical Challenges in Minimal Access Surgery

Edited By Rooma Sinha, Arnold Advincula, Kurian Joseph Copyright 2021
    200 Pages 204 Color & 14 B/W Illustrations
    by CRC Press

    200 Pages 204 Color & 14 B/W Illustrations
    by CRC Press

    200 Pages 204 Color & 14 B/W Illustrations
    by CRC Press

    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

    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


    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)