Doctors at Ganga Ram hospital successfully removed a cervical fibroid the size of a 9-month-old foetus that weighed 4-kg using a “hybrid technique”.
The case report is also published in the Journal of Obstetrics and Gynaecology Research.
As per case details, a 47-year-old woman had approached the hospital in January with complaints of pain in abdomen and menorrhagia or abnormally heavy bleeding during menstruation. She claimed she was in pain for the last 10 years.
The hospital said a 2009 ultrasound of the patient’s abdomen at another medical centre had revealed the presence of a fibroid measuring 3.3cm x 2.3cm but the woman did not pursue the matter further.
Upon examination, doctors found a fibroid the size of a 34-week foetus. The fibroid stretched from below the breastbone to the pelvis, adjoining the liver.
Debasis Dutta, senior consultant, Department of Minimally Invasive Gynaecology, Institute of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, said: “Removal of the fibroid was a challenge due to its size, precarious position and chances that it was cancerous.”
Doctors were also concerned over loss of blood following removal of the tumour. Since they suspected the fibroid was cancerous, they decided to remove it completely and in a way that minimised blood loss. They decided to combine laparoscopic hysterectomy to ensure minimum blood loss with laparotomy (surgical incision into the abdominal cavity) for total removal of the tumour along with the uterus.
The fibroid was removed successfully in a three-hour-long surgery in May. Kanika Jain from the Department of Minimally Invasive Gynaecology said the patient was discharged six days after the procedure.
The hybrid technique, devised by surgeons at the hospital, had its own advantages, said Kanika Chopra from the Department of Minimally Invasive Gynaecology. Dr. Chopra said, “Thanks to this hybrid technique, there was no injury to adjoining vital organs like the bladder, the ureter or bowel loops as seen in other similar cases.”
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