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What is 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:- and explain in detail?
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