Laparoscopic Myomectomy for Multiple Submucous Myomas

Abstract

ABSTRACTWe report an interesting case of multiple submucous fibroids which was removed by laparoscopic myomectomy. The patient presented with severe menorrhagia and a large uterus of clinically 24 weeks size. She was 29 years and nulliparous. The ultrasonography showed multiple echoes in the endometrial cavity. We did a diagnostic hysteroscopy and found the uterine cavity studded with multiple fibroids of varying sizes. We did a laparoscopy and removed 64 submucous fibroids laparoscopically. We report this interesting case where we removed the submucous fibroids laparoscopically in a single sitting. This reduces the complications of hysteroscopic myomectomy for such large and multiple submucous fibroids. Medline search did not reveal any report of laparoscopic removal of submucous fibroids.