Cervical Reconstruction after Cervical Myomectomy or Hysterectomy: Operative Challenges in Huge Cervical Fibroids

JOURNAL TITLE: Journal of South Asian Federation of Obstetrics and Gynaecology

Author
ISSN
0974-8938
DOI
10.5005/jp-journals-10006-1799
Volume
12
Issue
4
Publishing Year
2020
Pages
4
Article keywords

Abstract

Fibroids are an extremely common benign neoplasm of uterine smooth muscle but fibroids originating in cervix are uncommon (1% of all fibroids). Huge cervical fibroids pose operative challenge in both hysterectomy and myomectomy. We report two cases with a 24-week-sized central cervical fibroid with uterus sitting atop, i.e., lantern on the St. Paul's Cathedral appearance. The younger patient desirous of future childbearing underwent open cervical myomectomy followed by uterine cervix reconstruction and the postmenopausal women underwent hysterectomy.

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