Prime Hospital successfully treated a female patient with Multiple Uterine Fibroids without removing her uterus

Prime Hospital successfully treated a female patient with Multiple Uterine Fibroids without removing her uterus

Prime Hospital successfully treated a 46-year old female patient with Multiple Uterine Fibroids without removing her uterus

History

With a history of three abortions, patient P3L3 went on to have full-term normal deliveries. Though her menstrual cycles were regular, they were accompanied by heavy bleeding that lasted for 6 to 7 days.

Diagnosis

Abdominal examination disclosed that the uterus, including the fibroid, was of a size indicating an 18-week pregnancy and felt firm and non-tender. The vaginal scan, on the other hand, revealed free bilateral fornices, corroborating the first test. The ultrasound and magnetic resonance imaging (MRI) tests diagnosed multiple fibroids while other routine examinations were normal. 

Treatment

Though the patient was counselled for hysterectomy, attending specialists and medical experts were keen to save her uterus. Based on their recommendation, the patient underwent an open myomectomy procedure which resulted in the removal of nine fibroids; the uterus was left intact.

Upon surgically opening the patient’s abdomen, multiple fibroids could be seen all over the uterus, tubes and ovaries. A tourniquet was applied to the internal orifice of the uterus. The biggest fibroid along with four more were removed via an incision in the anterior surface near fundus. Another large fibroid in the posterior surface near the cervix in the recto-uterine pouch was removed with a small vertical incision. Other small fibroids were removed through minor incisions. The uterine cavity was not opened and the entire procedure resulted in a blood loss of only 300 to 400 ml.

Prognosis

Post-operation, the patient experienced a speedy recovery and was discharged with a satisfactory health report by attending physicians and doctors