Case Study: How Doctors Preserved A Woman’s Uterus After Surgically Removing A Large Fibroid

It was a complicated case of the removal of a large fibroid from a woman’s uterus — without compromising on her fertility, reproductive health, and her dream of giving birth one day — that challenged doctors recently. They, however, handled the case successfully. In a statement shared with this outlet, Dr Vaishali, who was in-charge of the case, recalled how the patient — a young woman — arrived with a massive fibroid in her uterus. While she had already undergone tests and even an attempted surgery at another hospital, she was heartbroken after being told that she would have to undergo the removal of her entire uterus, since the fibroid was attached closely to the organ and it would not be possible to save the uterus by taking out the fibroid alone.

The patient refused to relent, in the hope that there would be some miracle, and a doctor would be able to protect the uterus

and surgically remove only the additional mass. She did not consent to the surgery, and held on to the hope that one day she would get to cherish her dream of becoming a mother.

As such, the patient returned home with the fibroid and a large scar on her tummy. When she visited Dr Vaishali, however, a 3D ultrasound for fibroid mapping was done and it was decided that the patient would undergo a ‘myomectomy’, which is the surgical removal of fibroid while keeping the uterus safe. She underwent the complex surgery that was performed by Dr Vaishali and her team. They were able to successfully remove 20 cm fibroid mass carefully, after detaching it from all adhesions, while keeping the womb safe for future childbirth.

A uterus fibroid, which is also known as ‘leiomyoma’ or ‘myoma’, is usually a benign growth that develops in or around the uterus. Doctors explain that it is made up of muscle and connective tissue cells that grow together to form a ‘mass’. While fibroids can vary in size, number, and even location, they are quite common and affect many women during their reproductive years.

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When it comes to the dangers of uterine fibroids, health experts say that it is crucial to understand that they are usually not cancerous and often do not cause symptoms. But, some fibroids do lead to complications, such as that of heavy menstrual bleeding (large fibroids can cause heavy bleeding, leading to anemia and fatigue); pelvic pressure and pain (fibroids can put pressure on the pelvis and cause pain and discomfort, besides the need for frequent urination); infertility and pregnancy complications, when fibroids cause placental abruption or preterm delivery; damage to surrounding organs (large fibroids often put pressure on surrounding organs).

But, doctors say there is no need to panic. While the aforementioned complications are concerning, it is important to remember that many fibroids do not cause any symptoms at all, and do not even require treatment. But, if you are experiencing symptoms or have concerns about uterine fibroids, consult with a healthcare professional for personalised advice and care.

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