SavedAdd your journal

Journals / The European Research Journal / 2026 / Volume: 9 Issue: 3

Surgical approach to neglected giant cervical fibroids

Cagdas Nurettin Emeklioglu(Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0003-1859-8680
Emine Aydin(Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0002-6401-380X
Merve Konal(Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0001-5494-809X
Hicran Şirinoğlu(Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0003-4100-3868
Erhan Aktürk(Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0003-1436-6049
Ozgur Akbayir(Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey)0000-0002-2699-4969
Pages
—
Publication Date
2023-05-04
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

For this reason, the technique we describe can help the surgeon with clues that should be considered in the surgical management of these patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cervical fibroids are rare neoplasms of uterine origin whose management has not been standardized.
📊
Key Findings & Data:Cervical fibroids, which can be challenging in surgical management, can become a difficult problem for the surgeon when neglected or asymptomatic and reach gigantic dimensions.
💡
Conclusion & Impact:For this reason, the technique we describe can help the surgeon with clues that should be considered in the surgical management of these patients.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Gynecological surgery · uterine fibroid · neglected

Abstract

Cervical fibroids are rare neoplasms of uterine origin whose management has not been standardized. Cervical fibroids, which can be challenging in surgical management, can become a difficult problem for the surgeon when neglected or asymptomatic and reach gigantic dimensions. Suspending the aorta abdominalis or arteria illiaca communis with vascular tapes and balloting the uterus with the help of vaginal taping while searching for the correct cleavage may reduce the risk of intraoperative hemorrhage and adjacent organ injury, as well as may be guide for the steps of the operation. Management of neglected giant cervical fibroids may not be suitable for testing alternative treatment methods to surgery used in the treatment of uterine neoplasms. However, surgical management will also be challenging. For this reason, the technique we describe can help the surgeon with clues that should be considered in the surgical management of these patients.

🔖

Cite This Article

Emeklioglu, C. N., Aydin, E., Konal, M., Şirinoğlu, H., Aktürk, E., Akbayir, O. (2023). Surgical approach to neglected giant cervical fibroids. The European Research Journal, Volume: 9 Issue: 3. https://doi.org/10.18621/eurj.1167105

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Stewart EA, Cookson CL, Gandolfo RA, Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review. BJOG 2017;124:1501-12.
  2. Patel P, Banker M, Munshi S, Bhalla A. Handling cervical myomas. J Gynecol Endosc Surg 2011;2:30-2.
  3. Munro MG, Critchley HO, Broder MS, Fraser IS; FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstetrics 2011;113:3-13.
  4. Ferrari F, Forte S, Valenti G, Ardighieri L, Barra F, Esposito V, et al. Current treatment options for cervical leiomyomas: a systematic review of literature. Medicina (Kaunas) 2021;57:92.
  5. Ferrari F, Gubbala K, Campanile RG, Tozzi R. Latest developments and techniques in gynaecological oncology surgery. Curr Opin Obstet Gynecol 2015;27:291-6.
  6. Kheirabadi BS, Terrazas IB, Miranda N, Voelker AN, Klemcke HG, Brown AW, et al. Long-term consequences of abdominal aortic and junctional tourniquet for hemorrhage control. J Surg Res 2018;231:99-108.
  7. Tian J, Hu W. Cervical leiomyomas in pregnancy: report of 17 cases. Aust N Z J Obstet Gynaecol 2012;52:258-61.
  8. Wong J, Tan GHC, Nadarajah R, Teo M. Novel management of a giant cervical myoma in a premenopausal patient. BMJ Case Rep 2017;2017:bcr2017221408.
  9. Liu WM, Wang PH, Chou CS, Tang WL, Wang IT, Tzeng CR. Efficacy of combined laparoscopic uterine artery occlusion and myomectomy via minilaparotomy in the treatment of recurrent uterine myomas. Fertil Steril 2007;87:356-61.
  10. Walker WJ, Pelage JP. Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up. BJOG 2002;109:1262-72.
  11. Ambekar A, Vogelzang RL. Aberrant uterine artery as a cause of uterine artery embolization treatment failure. Int J Gynaecol Obstet 2001;74:59-60.
  12. Pelage JP, Jacob D, Fazel A, Namur J, Laurent A, Rymer R, et al. Midterm results of uterine artery embolization for symptomatic adenomyosis: initial experience. Radiology 2005;234:948-53.
  13. Kim MD, Lee M, Jung DC, Park SI, Lee MS, Won JY, et al. Limited efficacy of uterine artery embolization for cervical leiomyomas. J Vasc Interv Radiol 2012;23:236-40.
  14. Zhu B, Yang K, Cai L. Discussion on the timing of balloon occlusion of the abdominal aorta during a caesarean section in patients with pernicious placenta previa complicated with placenta accreta. BioMed Res Int 2017;2017:8604849.
  15. Bishop S, Butler K, Monaghan S, Chan K, Murphy G, Edozien L. Multiple complications following the use of prophylactic internal iliac artery balloon catheterisation in a patient with placenta percreta. Int J Obstet Anesth 2011;20:70-3.