TITLE:
Uterine Reconstruction Due to a Giant Myoma. A Case Report and Literature Review
AUTHORS:
M. N. Gennaro Della Rossa, B. Navarro Santana, M. Rodríguez Verdejo-Arias, E. Valer Cardenas, J. Plaza Arranz
KEYWORDS:
Giant Myoma, Myomectomy, Uterine Reconstruction
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.1,
January
25,
2016
ABSTRACT: Giant myomas, defined as those > 9 cm, are
uncommon. Due to the difficulties caused by its enormous size, the usual surgical treatment is a simple
total hysterectomy. The surgery may be performed by either laparoscopy or
laparotomy. However, the case presents a 45-year-old woman who was diagnosed
with a giant myoma of 23 cm. The patient is asymptomatic and does not accept
the indication of a simple total hysterectomy because of her fear to lose her femininity
and a feeling of mutilation and unfulfilled genesic desire. A personalized
procedure was performed: myomectomy by laparotomy with subsequent uterine
reconstruction. The case is described to focus the interest on giant uterine
myomas, taking into account the limited availability of literature on the
topic, and to highlight the reconstruction after myomectomy.