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      Successful Laparoscopic-Assisted Supracervical Hysterectomy in a 14-Week-Sized Fibroid Uterus: An Autobiographical Case Report

      case-report
      Author(s): 1 , , 2
      Editor(s): ,
      Publication date (Electronic, pub):
      Publication date (Electronic, collection):
      Journal: Cureus
      Publisher: Cureus
      Keywords: lgbtq, african american/black, case report, autobiographical case report, morcellation, lash, hysterectomy, endometriosis, fibroid uterus, leiomyoma

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          Abstract

          Uterine leiomyomas are a very common gynecological condition. This case report describes the author’s experience pursuing definitive treatment of a 14-week-sized fibroid uterus, the associated menometrorrhagia, and bulk symptoms. Barriers still remain if women of reproductive age prefer ovary-sparing hysterectomy. Laparoscopic supracervical hysterectomy with contained morcellation remains a well-tolerated and low-risk option dependent on surgeon expertise and informed patient consent. Literature review reveals the psychosocial and financial burden of uterine leiomyomas may present multiple challenges, affecting the quality of life.

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          • Record: found
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          Uterine fibroids: current perspectives

          Aamir Khan, Manjeet Shehmar, Janesh Gupta (2014)
          Uterine fibroids are a major cause of morbidity in women of a reproductive age (and sometimes even after menopause). There are several factors that are attributed to underlie the development and incidence of these common tumors, but this further corroborates their relatively unknown etiology. The most likely presentation of fibroids is by their effect on the woman’s menstrual cycle or pelvic pressure symptoms. Leiomyosarcoma is a very rare entity that should be suspected in postmenopausal women with fibroid growth (and no concurrent hormone replacement therapy). The gold standard diagnostic modality for uterine fibroids appears to be gray-scale ultrasonography, with magnetic resonance imaging being a close second option in complex clinical circumstances. The management of uterine fibroids can be approached medically, surgically, and even by minimal access techniques. The recent introduction of selective progesterone receptor modulators (SPRMs) and aromatase inhibitors has added more armamentarium to the medical options of treatment. Uterine artery embolization (UAE) has now been well-recognized as a uterine-sparing (fertility-preserving) method of treating fibroids. More recently, the introduction of ultrasound waves (MRgFUS) or radiofrequency (VizAblate™ and Acessa™) for uterine fibroid ablation has added to the options of minimal access treatment. More definite surgery in the form of myomectomy or hysterectomy can be performed via the minimal access or open route methods. Our article seeks to review the already established information on uterine fibroids with added emphasis on contemporary knowledge.
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            The health disparities of uterine fibroid tumors for African American women: a public health issue.

            Heba M Eltoukhi, Monica N Modi, Meredith Weston … (2014)
            Uterine fibroid tumors (leiomyomas) are the most common benign pelvic tumors in women and are the major indication for hysterectomy. Fibroid tumors are more common and more severe among African American women. Although this disease disproportionately affects the African American population, we understand little about what causes the disparity. Fibroid tumors should be considered a public health issue, given the magnitude of the problem and the costs of health care for this disease. In this review, we examine the burden of disease from fibroid tumors in the African American population and review the natural history, diagnosis, and treatment of uterine fibroid tumors, with emphasis on how these can differ, depending on race. We also focus on the socioeconomic burden caused by the disease and describe the anticipated influence of new health care reforms and funding mechanisms for fibroid tumor research.
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              Contained power morcellation within an insufflated isolation bag.

              Sarah L Cohen, Jon I. Einarsson, Karen C Wang … (2014)
              To describe a technique for contained power morcellation within an insufflated isolation bag at the time of uterine specimen removal during minimally invasive gynecologic procedures.
              Article 0 comments Cited 27 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic, pub): 24 January 2022
                Publication date (Electronic, collection): January 2022
                Volume: 14
                Issue: 1
                Electronic Location Identifier: e21543
                Affiliations
                [1 ] Psychiatry, Florida State University College of Medicine, Daytona Beach, USA
                [2 ] Obstetrics and Gynecology, Florida State University College of Medicine, Daytona Beach, USA
                Author notes
                Article
                DOI: 10.7759/cureus.21543
                PMC ID: 8864580
                PubMed ID: 35223316
                SO-VID: 25d2709b-d082-4a4f-ab2d-6f29cc06af2b
                Copyright © Copyright © 2022, Eburne et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date accepted : 23 January 2022
                Categories
                Subject: Obstetrics/Gynecology
                Subject: General Surgery
                Subject: Public Health

                Keywords: lgbtq,african american/black,case report,autobiographical case report,morcellation,lash,hysterectomy,endometriosis,fibroid uterus,leiomyoma
                Data availability:
                Keywords: lgbtq, african american/black, case report, autobiographical case report, morcellation, lash, hysterectomy, endometriosis, fibroid uterus, leiomyoma

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