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J Gynecol Endosc Surg. 2009 Jul;1(2):73-82. doi: 10.4103/0974-1216.71611.

Laparoscopic management of large myomas.

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Consultant endoscopic surgeons, Beams hospitals, Mumbai, India.


The objective of this article is to review the different techniques that have been adopted for removal of large myomas laparoscopically. We have also quoted literature about the impact of myomas on Pregnancy and obstetrical outcome and the effect of laparoscopic myomectomy on the same. Technical modifications to remove large myomas have been described along with methods to reduce intraoperative bleeding. This comprehensive review describes all possibilities of laparoscopic myomectomy irrespective of size, site and number.


Laparoscopic myomectomy; fibroids; large myomas; pregnancy after myomectomy; uterine artery ligation

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