Hysterectomy after myomectomy
operation on 10 cm. diameter
intramural fibroid case
A.Taner USTA M.D , Önder AYDIN M.D,Evren AKMUT M.D ,Erdal KAYA M.D
Department of Obstetrics and Gynecology
Bagcilar Training and Research Hospital
ISTANBUL
 51 years old
 Parity:
-Three normal vaginal delivery
 Myoma was detected while rutine gynecologic examination.
 She didn’t have any laboratory abnormality and she hadn’t any
operation.
 Transvaginal USG:
 10*9 cm diameter intramural myoma located at uterin fundus
anterior . Endometrial tickness was measured 7 mm diameter.
Bilateral ovaries were visually normal sonographic apperance.
 Patient was insistent about having laparoscopic surgery.
 Operation was planned.