Broad ligament uterine fibroid: Management with Davinci robotic myomectomy

Primary leiomyoma of ovary are rare benign ovarian tumors. We present a rare case report of ovarian leiomyoma who was planned for laparotomy with a clinical diagnosis of subserosal uterine fibroid. Twenty three years old unmarried girl presented with heaviness and mass in lower abdomen, gravid uterus size of 20 weeks. Abdominal Ultrasonography raised suspicion of subserous fibroid. MRI pelvis was suggestive of ovarian neoplasm versus broad ligament fibroid. On laparotomy and removal of mass, histopathology and immunohistochemistry confirmed leiomyoma of ovary. Presently she is on follow up without any complaints. Ovarian leiomyoma is clinically often misdiagnosed and should be kept in differential diagnosis in lower abdominal masses.

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Faculty Opinions recommendation of 1,25-dihydroxyvitamin d3 reduces extracellular matrix-associated protein expression in human uterine fibroid cells.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718158993.793507551 ◽

2015 ◽

Author(s):

Phyllis Leppert

Keyword(s):

Extracellular Matrix ◽

Protein Expression ◽

Uterine Fibroid ◽

Dihydroxyvitamin D3 ◽

1,25 Dihydroxyvitamin D3

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Faculty Opinions recommendation of Selective genetic analysis of myoma pseudocapsule and potential biological impact on uterine fibroid medical therapy.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725568669.793507542 ◽

2015 ◽

Author(s):

Phyllis Leppert

Keyword(s):

Genetic Analysis ◽

Medical Therapy ◽

Uterine Fibroid ◽

Biological Impact

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Women’s Infertility - A Ayurvedic thought

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i4.9356 ◽

2017 ◽

Vol 2 (4) ◽

Author(s):

Sonalika Hiremath ◽

Santhosh Kumar S. ◽

Sridevi Swamy

Keyword(s):

Uterine Fibroid ◽

Poor Quality ◽

The State ◽

Full Term ◽

Female Infertility ◽

Cervical Canal ◽

Fallopian Tubes ◽

Structural Problems ◽

Hormonal Imbalance ◽

Males And Females

Infertility primarily refers to the biological inability of a person to contribute to conception. In women, it may also refer to the state when she is not able to carry a pregnancy to its full term. Female infertility is caused due to structural problems like blocked Fallopian tubes, defect in cervical canal, uterine fibroid or polyps. Hormonal imbalance leading .ovulation problems too can cause infertility. From Ayurvedic perspectives, Shukra Dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality Shukra Dhatu can cause infertility in males and females.

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Intra-arterial lidocaine administration during uterine fibroid embolization to reduce the immediate postoperative pain: a prospective randomized study

CVIR Endovascular ◽

10.1186/s42155-020-0099-4 ◽

2020 ◽

Vol 3 (1) ◽

Cited By ~ 2

Author(s):

Stevo Duvnjak ◽

Poul Erik Andersen

Keyword(s):

Postoperative Pain ◽

Uterine Fibroid ◽

Randomized Study ◽

Prospective Randomized Study ◽

Uterine Fibroid Embolization ◽

Lidocaine Administration

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Validation of a menstrual pictogram and a daily bleeding diary for assessment of uterine fibroid treatment efficacy in clinical studies

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-020-00263-0 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Claudia Haberland ◽

Anna Filonenko ◽

Christian Seitz ◽

Matthias Börner ◽

Christoph Gerlinger ◽

...

Keyword(s):

Uterine Fibroid ◽

Full Range ◽

Intraclass Correlation ◽

Phase Iii ◽

Measurement Properties ◽

Retest Reliability ◽

Response Options ◽

Patient Global Impression ◽

Patient Reported ◽

Test Retest Reliability

Abstract Background To evaluate the psychometric and measurement properties of two patient-reported outcome instruments, the menstrual pictogram superabsorbent polymer-containing version 3 (MP SAP-c v3) and Uterine Fibroid Daily Bleeding Diary (UF-DBD). Test-retest reliability, criterion, construct validity, responsiveness, missingness and comparability of the MP SAP-c v3 and UF-DBD versus the alkaline hematin (AH) method and a patient global impression of severity (PGI-S) were analyzed in post hoc trial analyses. Results Analyses were based on data from up to 756 patients. The full range of MP SAP-c v3 and UF-DBD response options were used, with score distributions reflecting the cyclic character of the disease. Test-retest reliability of MP SAP-c v3 and UF-DBD scores was supported by acceptable intraclass correlation coefficients when stability was defined by the AH method and Patient Global Impression of Severity (PGI-S) scores (0.80–0.96 and 0.42–0.94, respectively). MP SAP-c v3 and UF-DBD scores demonstrated strong and moderate-to-strong correlations with menstrual blood loss assessed by the AH method. Scores increased in monotonic fashion, with greater disease severities, defined by the AH method and PGI-S scores; differences between groups were mostly statistically significant (P < 0.05). MP SAP-c v3 and UF-DBD were sensitive to changes in disease severity, defined by the AH method and PGI-S. MP SAP-c v3 and UF-DBD showed a lower frequency of missing patient data versus the AH method, and good agreement with the AH method. Conclusions This evidence supports the use of the MP SAP-c v3 and UF-DBD to assess clinical efficacy endpoints in UF phase III studies replacing the AH method.

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Recurrence hernia in the broad ligament of the uterus: a case report

Surgical Case Reports ◽

10.1186/s40792-020-01030-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Yoshifumi Hashimoto ◽

Tatsuo Kanda ◽

Tadasu Chida ◽

Kazuyoshi Suda

Keyword(s):

Small Bowel ◽

Rare Disease ◽

Broad Ligament ◽

Significant Risk ◽

Disease Recurrence ◽

The Right ◽

Enhanced Computed Tomography ◽

Bowel Segments ◽

Hernia Orifice ◽

Bowel Herniation

Abstract Background Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. Case presentation A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. Conclusions Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH.

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