PDF(Pubmed)
Abstract：
We present the unique case of a 44-year-old gravida 3 para 2 woman with complaints of monolateral perception of fetal movements who underwent elective cesarean section and hysterectomy for the presence of an exceptionally voluminous infralegamentary leiomyoma. Cesarean section required in-depth preoperative planning and was possible only after gravid uterus exteriorization. Myomectomy and hysterectomy were then necessary to reestablish the physio-anatomical pelvic environment. The patient was discharged after regular and uncomplicated postoperative time. In recent years, the paradigma of avoiding cesarean myomectomy due to fear of hemorrhage has been questioned by many authors and in certain cases cesarean myomectomy may even be undeferrable. We describe an innovative surgical technique which could be useful to obstetricians approaching similar uterine masses during cesarean sections.
摘要：
我们介绍了一名44岁的gravida3para2妇女的独特病例，该妇女抱怨对胎儿运动的单侧感知，该妇女因存在异常大量的韧带下平滑肌瘤而接受了选择性剖宫产和子宫切除术。剖宫产需要深入的术前计划，只有在妊娠子宫外切后才能进行。然后需要子宫肌瘤切除术和子宫切除术以重建生理解剖环境。患者在常规和简单的术后时间后出院。近年来,许多作者质疑由于担心出血而避免剖宫产子宫肌瘤切除术的范式，在某些情况下，剖宫产子宫肌瘤切除术甚至可能是不足的。我们描述了一种创新的手术技术，该技术可能对剖宫产期间接近类似子宫肿块的产科医生有用。
