Myomectomy - uterine incision

This is part of a video series within a learning module about myomectomy designed for OBGYN residents at St. Paul Hospital Millennium Medical College. This video features an interview with Dr. Malede Birara, Assistant Professor within the Department of Obstetrics and Gynaecology. The full learning moduled is available at http://open.umich.edu/education/med/oernetwork/med/ob-gyn/myomectomy/2013. The video and learning module are shared under a Creative Commons Attribution Non-Commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/. The video was filmed by Kathleen Omollo from University of Michigan and Yetemwork Abay Benti from St. Paul Hospital Millennium Medical College.

The uterine incisions to make myomectomy

usually should be done by metrocautery or

scalpel, and the principle type and site of incision on the uterus is

as much as possible on the anterior aspect of the uterus and as much as possible

all the myomas should be removed through a single incision [words on screen: ovary uterine incision fundus of the uterus]

made on the anterior aspect of the uterus.

So while doing the incision on the uterus

there might be bleeders coming from the myometrium

but once we reach into the myoma, the myoma will be appearing quite

x and less bleeding

but sometimes it might be difficult to remove all the myomas

through a single incision,

and it might be important to do other incisions

but as much as possible one has to avoid

making multiple incisions so that lesion

and pain and hemorrhage will not be higher