30 years old woman presents in gynaec OPD with complaints of recurrent aboions and menorrhagia. Her USG showed 2 sub-serosal fibroids of 3 x 4 cm on anterior wall of uterus and fundus, which is best line of management:-
Myomectomy is best treatment for such young patients with incomplete family Advantages of laparoscopic myomectomy: Type 5,6,7 fibroids are easily removed by this procedure Less blood Loss Earlier Recovery Criteria 3-4 fibroids of <=5 cm Single Fibroid of 15 cm Uterine embolisation may result in compromised blood flow later and may be associated with infeility and placental insufficiency in pregnancy TAH + BSO can not be considered as patient's family is not complete
TAH with BSO
Myolysis
Myometomy
Uterine aery embolisation (UAE)
Fibroids