Skip to main content

Abstract

Pedunculated aborting myomatas are often removed vaginally by gynecologists as an office or ambulatory procedure since the peduncle in some cases is long enough to allow the fibroids to be expelled into the vagina out of the cervix making this removal easier to perform.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Breech LL, Rock JA. Leiomyomata uteri and myomectomy. In: Rock JA, Jones HW, editors. Te Linde’s operative gynecology. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.

    Google Scholar 

  2. Noble CP. Vaginal myomectomy. In: Kelly AH, Noble CP, editors. Gynecology and abdominal surgery. Philadelphia: W.B. Saunders Company; 1907. p. 713–7.

    Google Scholar 

  3. Emmet TA. The principles and practice of gynaecology. 2nd ed. New York: Henry C Lea; 1880.

    Google Scholar 

  4. Murphy J. Notes of a case of vaginal myomectomy par morcellement. Br Med J. 1893;1(1676):285.

    Google Scholar 

  5. Crossen HS. Operative gynecology. St. Louis: C.V. Mosby Company; 1917. p. 277–83.

    Google Scholar 

  6. Thomas B, Magos A. Subtotal hysterectomy and myomectomy – vaginally. Best Pract Res Clin Obstet Gynaecol. 2011;25:133–52.

    Article  PubMed  Google Scholar 

  7. Brooks G, Stage AH. The surgical management of prolapsed pedunculated submucous leiomyomas. Surg Gynecol Obstet. 1975;141:397–8.

    CAS  PubMed  Google Scholar 

  8. Riley P. Treatment of prolapsed submucous fibroids. S Afr Med J. 1982;63:22–4.

    Google Scholar 

  9. Ben Baruch G, Schiff E, Menashe Y, et al. Immediate and late outcome of vaginal myomectomy for prolapsed pedunculated submucous myoma. Obstet Gynecol. 1988;72:858–61.

    CAS  PubMed  Google Scholar 

  10. Golan A, Zachalka N, Lurie S, et al. Vaginal removal of prolapsed pedunculated submucous myoma: a short, simple, and definitive procedure with minimal morbidity. Arch Gynecol Obstet. 2005;271:11–3.

    Article  PubMed  Google Scholar 

  11. Salamalekis E, Loghis C, Panayotopoulos N, et al. Vaginal myomectomy in the treatment of postpartum haemorrhage. J Gynecol Surg. 1996;12:275–7.

    Article  Google Scholar 

  12. Heisler CA, LaGrand JP, McSpadden F. Vaginal removal of a partially expelled massive leiomyomata (sic.) in a postpartum patient after cesarean delivery: a case report. J Pelvic Med Surg. 2007;13:213–5.

    Article  Google Scholar 

  13. Goldrath MH. Vaginal removal of the pedunculated submucous myoma: the use of laminaria. Obstet Gynecol. 1987;70:670–2.

    CAS  PubMed  Google Scholar 

  14. Goldrath MH. Vaginal removal of the pedunculated submucous myoma. J Reprod Med. 1990;35:921–4.

    CAS  PubMed  Google Scholar 

  15. Martindale EA, Subris JF, Wake CR. Severe secondary postpartum haemorrhage successfully managed by vaginal myomectomy. J Obstet Gynaecol. 1998;18:380–1.

    Article  CAS  PubMed  Google Scholar 

  16. Mayes HW. Dührssen’s incisions. Am J Surg. 1951;81:303–6.

    Article  CAS  PubMed  Google Scholar 

  17. Hartmann H. Gynecological operations, including non-operative treatment and minor gynecology. Philadelphia: P. Blackiston’s Son & Co; 1913.

    Google Scholar 

  18. Magos AL, Bournas N, Sinha R, et al. Vaginal myomectomy. Br J Obstet Gynaecol. 1994;101:1092–4.

    Article  CAS  PubMed  Google Scholar 

  19. Bessenay F, Cravello L, Roger V, et al. Vaginal myomectomy. Contracept Fertil Sex. 1998;26:448–51.

    CAS  PubMed  Google Scholar 

  20. Davies A, Hart R, Magos AL. The excision of uterine fibroids by vaginal myomectomy: a prospective study. Fertil Steril. 1999;71:961–4.

    Article  CAS  PubMed  Google Scholar 

  21. Birsan A, Deval B, Detchev R, et al. Vaginal and laparoscopic myomectomy for large posterior myomas: results of a pilot study. Eur J Obstet Gynecol Reprod Biol. 2003;110:89–93.

    Article  PubMed  Google Scholar 

  22. Agostini A, Deval B, Birsan A. Vaginal myomectomy using posterior colpotomy: feasibility in normal practice. Eur J Obstet Gynecol Reprod Biol. 2004;116:217–20.

    Article  PubMed  Google Scholar 

  23. Wittich AC. Vaginal myomectomy through an anterior colpotomy. J Pelvic Med Surg. 2005;11:145–7.

    Article  Google Scholar 

  24. Zhang J, Huang L, Chen YH, et al. Clinical analysis of 45 cases of vaginal myomectomy. Zhonghua Fu Chan Ke Za Zhi. 2005;40:659–61.

    PubMed  Google Scholar 

  25. Carminati R, Ragusa A, Giannice R, Pantano F. Anterior and posterior vaginal myomectomy: a new surgical technique. MedGenMed. 2006;8:42.

    PubMed Central  PubMed  Google Scholar 

  26. Wei F-H, Zhao X-D, Zhang Y. Feasibility and safety of vaginal myomectomy: analysis of 90 cases. Chin Med J. 2006;119:1790–3.

    PubMed  Google Scholar 

  27. Rovio PH, Pentti AE, Heinonen K. Transvaginal myomectomy with screw traction by colpotomy. Arch Gynecol Obstet. 2006;273:211–5.

    Article  PubMed  Google Scholar 

  28. Agostini A, Gerbeau S, Al Nakid M, et al. Complications of vaginal myomectomy by posterior colpotomy. Eur J Obstet Gynecol Reprod Biol. 2008;138:100–4.

    Article  PubMed  Google Scholar 

  29. Plotti G, Plotti F, Di Giovanni A, et al. Feasibility and safety of vaginal myomectomy: a prospective pilot study. J Minim Invasive Gynecol. 2008;15:166–71.

    Article  PubMed  Google Scholar 

  30. Faivre E, Surroca MM, Deffieux X, et al. Vaginal myomectomy: literature review. J Minim Invasive Gynecol. 2010;17:154–60.

    Article  PubMed  Google Scholar 

  31. Yi YX, Zhang W, Guo WR, et al. Meta-analysis: the comparison of clinical results between vaginal and laparoscopic myomectomy. Arch Gynecol Obstet. 2011;283:1275–89.

    Article  PubMed  Google Scholar 

  32. Yu X, Zhu L, Li L, et al. Evaluating the feasibility and safety of vaginal myomectomy in China. Chin Med J (Engl). 2011;124:3481–4.

    Google Scholar 

  33. Rolli R, Favilli A, Acanfora MM, et al. Vaginal myomectomy is a safe and feasible procedure: a retrospective study of 46 cases. J Obstet Gynaecol Res. 2012;38:1201–5.

    Article  PubMed  Google Scholar 

  34. Deval B, Rousset P, Kayani S. Vaginal myomectomy for a thirteen-centimeter anterior myoma. Case Rep Obstet Gynecol. 2013;2013:285243.

    PubMed Central  PubMed  Google Scholar 

  35. Terzic M, Maricic S, Dotlic J. Vaginal removal of very large nascent uterine myoma – case report and literature review. Geburtshilfe Frauenheilkd. 2013;73:724–6.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Agostini A, Beerli M, Franchi F, et al. Garnerella vaginalis bacteremia after vaginal myomectomy. Eur J Obstet Gynecol Reprod Biol. 2003;108:229.

    Article  PubMed  Google Scholar 

  37. Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastorintest Endosc. 2004;60:114–6.

    Article  Google Scholar 

  38. Nezhat F, Brill AI, Nezhat CH, et al. Adhesion formation after endoscopic posterior colpotomy. J Reprod Med. 1993;38:535–8.

    Google Scholar 

  39. Delveaux G, Devroey P, De Waele B, Willems G. Transvaginal removal of gallbladders with large stones after laparoscopic cholecystectomies. Surg Laparosc Endosc. 1993;3:307–9.

    Google Scholar 

  40. Ott V. Ventroscopia. Zh Akussherstva Bolezn. 1901;15:1045–9.

    Google Scholar 

  41. Klaften E. Culdoscopy. Am J Obstet Gynecol. 1948;55:1071.

    CAS  PubMed  Google Scholar 

  42. Decker A, Cherry T. Culdoscopy: a new method in diagnosis of pelvic disease. Am J Surg. 1944;64:40–4.

    Article  Google Scholar 

  43. Gordts S, Campo R, Rombatous L, Bronsen I. Transvaginal salpingoscopy: an office procedure for infertility investigation. Fertil Steril. 1998;70:523–6.

    Article  CAS  PubMed  Google Scholar 

  44. Tsin DA. Culdolaparoscopy a preliminary report. JSLS. 2001;5:69–71.

    CAS  PubMed Central  PubMed  Google Scholar 

  45. Tsin DA, Colombero L, Mahmood D, Padouvas J, Manolas P. Operative culdolaparoscopy: a novel approach combining operative culdoscopy and minilaparoscopy. J Am Assoc Gynecol Laparosc. 2001;8:438–41.

    Article  CAS  PubMed  Google Scholar 

  46. Tsin DA, Colombero LT, Lambeck J, Manolas P. Minilaparoscopy assisted natural orifice surgery (MANOS). JSLS. 2007;11:24–9.

    PubMed Central  PubMed  Google Scholar 

  47. Ghezzi F, Raio L, Mueller MD, Gyr T, Buttarelli M, Franchi M. Vaginal extraction of pelvic masses following operative laparoscopy. Surg Endosc. 2002;16:1691–6.

    Article  CAS  PubMed  Google Scholar 

  48. Tsin DA. The access in natural orifice transvaginal endoscopic surgery. In: Andrea T, editor. Laparoscopic entry: traditional methods, new insights and novel approaches. London: Springer; 2012.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel A. Tsin MD, FACOG .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Tsin, D.A., Magos, A. (2015). Vaginal Myomectomy. In: Tinelli, A., Malvasi, A. (eds) Uterine Myoma, Myomectomy and Minimally Invasive Treatments. Springer, Cham. https://doi.org/10.1007/978-3-319-10305-1_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-10305-1_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10304-4

  • Online ISBN: 978-3-319-10305-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics