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MYOMECTOMY USING LASER IN A PRIVATE PRACTISE

MYOMECTOMY USING LASER IN A PRIVATE PRACTISE. Akinwuntan AL, Osinowo OS, Olutayo AA, Iwuh UE, Olaleye A Premier Specialists Medical Center, Victoria Island, Lagos. Introduction.

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MYOMECTOMY USING LASER IN A PRIVATE PRACTISE

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  1. MYOMECTOMY USING LASER IN A PRIVATE PRACTISE Akinwuntan AL, Osinowo OS, Olutayo AA, Iwuh UE, Olaleye A Premier Specialists Medical Center, Victoria Island, Lagos

  2. Introduction • Traditional myomectomy for uterine fibroids is one of the commonest gynaecological procedures in most gynaecological practice in Nigeria • However the use of laser is not common, hence the reporting of these cases within our practice

  3. PATIENTS • PATIENT 1 • 36 YEARS • NULLIPARA • PATIENT 2 • 34 YEARS • NULLIPARA

  4. Objective To report the use of laser for myomectomy

  5. Methods • Laser techniques were used in the opening of the rectus sheath, the peritoneum and the enucleation of the fibroid nodules as against traditional cold knife or electrocautery • A tourniquet was applied at the uterine isthmus • The traditional repairs were done following rehydration of the tissues • Protective goggles were worn during the procedures

  6. Results • Two nulliparous women with a mean age of 35 years • Mean duration of surgery was 57.5mins • and average blood loss of 250mls • The average duration of hospital stay was 4 days

  7. Conclusion • The use of laser for myomectomy is very recent in our practice • Haemostatsis seems better with less tissue damage • Further reviews in our practice would compare outcomes with similar cases using traditional cold knife

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