We experienced 3 cases of early stage tubal cancer incidentally recognized during the operation and diagnosed pathologically after surgery of the tubo-ovarian abscess, the symptomatic adenomyosis, the myoma with adnexal cyst patients, so we report our cases with a review of the literature.
Abscess ; Adenomyosis ; Humans ; Myoma

No abstract available.
Humans ; Myoma* ; Uterus*

The hem-o-lock is useful tools for the laparoscopic surgeon. We herein describe a simplified technique for suturing and knotting technique using hem-o-loc. After enucleation of the myoma, uterine parenchymal defect was closed laparoscopically using a 1-0 vicryl suture on a needle, also prepared with a hem-o-lock. Before suturing, the vicryl is tied up with hem-o-loc on the tail of continuous suture that is start point of suture site. Once the suture is passed, a hem-o-loc is used to cinch it down on the suture site and secure the knot tightly. All sutures can be completed with just one suture, continuously. We experienced no major surgical complication.
Myoma ; Needles ; Polyglactin 910 ; Sutures

Fibroid uterine is a common disease, accounts for 30-40% women between 30 and 50 years old. It is benign, gradual progress, and diversified clinical development. Artery embolization - a less-invasive method was widely used in the world within 8 years ago (but only 3 years in Vietnam).. This method has many advantages: gentle, safe, and effective technique, keeping body intact, higher quality of life for patients. Wide application of this method is reasonable and essential
Embolization, Therapeutic ; Therapeutics ; Myoma ; Leiomyoma

OBJECTIVE: To compare surgical outcomes of patients with myoma after robot-assisted laparoscopic myomectomy and laparoscopic myomectomy. METHODS: Retrospective chart review of 15 robot-assisted laparoscopic myomectomy (RLM) patients and 30 laparoscopic myomectomy (LM) patients at Jeju National University Hospital in Jeju between July 2009 and July 2012. Clinical features and surgical outcomes were compared. RESULTS: Surgical time was longer among RLM patinets (185.7 min vs 114.4 min). Patients undergoing robot-assisted myomectomy had a bigger size of the largest myoma, and bigger average size of the myomas. When adjusted for myoma size and number, no significant differences were noted between robotic (RLM: 24.5 min/cm) vs laparoscopic (LM: 21.5 min/cm) groups for mean operating time/total diameter. Blood loss (1.7 g/dl vs 1.95 g/dl), transfusion (0% vs 6.6%) were both no significant differences between the robotic and laparoscopic groups. CONCLUSION: When adjusted for myoma size and number, short-term outcomes were similar after robotic and laparoscopic myomectomy. Robot-assisted myomectomy is considered reliable procedure.
Humans ; Laparoscopy ; Myoma ; Operative Time ; Retrospective Studies

OBJECTIVE: To introduce the technical aspects and advantages of a new classic intrafascial supracervical hysterectomy (CISH) technique over the conventional technique. METHODS: The charts of two hundred women who underwent conventional CISH technique (100 cases) between March 2000 and September 2000, or the new CISH technique (100 cases) between May 2002 and November 2002 were reviewed regarding patient characteristics, indications, uterine weight, estimated blood loss, operating time, and hemoglobin change. Cases with a very large uterus (over 500 g of weight), severe adhesions, and other complications, which required a longer operating time, were excluded and this study compared the most recent patient's data for both procedures, since the surgeon's experience and surgical technique will improve with practice. RESULTS: The women who underwent the new CISH had significantly shorter operating time as compared with the conventional method (106.7 vs 90.4 min). Although there was no significant difference in the estimated blood loss, the drop of Hb, which is an objective sign of blood loss, was significantly smaller using the new CISH technique than using the conventional CISH technique (1.98 vs 1.64 g/dL). CONCLUSION: The new CISH technique is safer, more convenient with less blood loss and shorter op time than the conventional technique, especially when the uterus is markedly enlarged by a large myoma, the ovarian ligament is too short, or the ovary and uterus are very closely adherent.
Female ; Humans ; Hysterectomy* ; Ligaments ; Myoma ; Ovary ; Uterus

PURPOSE: To describe various hysterosalpingographic (HSG) findings of intrauterine lesions, and to determinethe correlation of these with their hysteroscopic findings. MATERIALS AND METHODS: This study involved 100patients who during a 23-month period underwent both HSG and hysteroscopic examinations. The HSG findings werecategorized as intrauterine adhesion, endometrial polyp, myoma, or 'other', and were correlated with hysteroscopicfindings and histologic diagnoses. RESULTS: Diagnoses based on HSG findings were intrauterine adhesions (n=80),endometrial polyps (n=8), myomas (n=10) and 'other' (n=2). The hysteroscopic diagnoses of these patients wereintrauterine adhesions (n=68), endometrial polyps (n=11), myomas (n=4), and 'other' (n=17). HSG and hysteroscopicdiagnoses were consistent 72 patients (72%). CONCLUSION: Lesions presenting as filling defects on HSG sometimesshow nonspecific or overlapping findings and the normal uterus may produce defects of this kind which mimicklesions.
Diagnosis ; Humans ; Hysterosalpingography* ; Myoma ; Polyps ; Uterus

Leiomyoma is the most common benign uterine tumor, but acute torsion of myoma is extremely rare. We experienced two patients admitted to our hospital for acute abdominal pain, who diagnosed with torsion of subserosal myoma. Although ultrasonogram revealed a subserosal myoma in both cases, it could not confirm torsion of uterine fibroid. Laparoscopic surgery confirmed the diagnosis of acute torsion of myoma and resected the lesion successfully.
Abdominal Pain ; Humans ; Laparoscopy ; Leiomyoma ; Myoma

Uterine leiomyoma is the most frequent gynecologic tumor, but acute torsion of uterine leiomyoma is extremely rare. We report a case of a patient who had suffered lower abdominal pain for 2 weeks. Ultrasonogram showed a subserosal uterine leiomyoma. Laparoscopic surgery confirmed the diagnosis of acute torsion of a subserosal uterine leiomyoma.
Abdominal Pain ; Humans ; Laparoscopy ; Leiomyoma ; Myoma

OBJECTIVE: To evaluate the diagnosis and treatment of hysteroscopy and its complications. METHODS: Reviewed 415 cases treated by hysteroscopy during 1994.9-2003.2 at Ajou University Hospital. RESULTS: Major indications were infertility (321 cases, 77.3%) and gynecologic indications such as myoma, polyps etc (94 cases, 22.7%). Hysteroscopic findings were polyp (192 cases, 46.3%), synechiae (72 cases, 17.3%), submucosal myoma (21 cases, 5.1%) and uterine anomaly (13 cases, 3.1%). Complications were 2 cases of uterine perforations and one case of bowel injury. CONCLUSION: Hysteroscopy is a safe, minimally invasive procedure with a low rate of complications.
Diagnosis* ; Hysteroscopy* ; Infertility ; Myoma ; Polyps ; Uterine Perforation