Fibroid tumors and Adenomyosis

48 year old
Condition:
Fibroid tumors and Adenomyosis

Almost 20 year history of fibroids. Most significant complaints were pelvic pain, bloating, abdominal pressure and fatigue. Findings at surgery included 134 fibroids, 2 fibroid tumors within the endometrial cavity, and adenomyosis.

Uterus just removed from the abdominal cavity. Note the multiple deformities (fibroids) and the very large pedunculated fibroid tumor on top
Uterus just removed from the abdominal cavity. Note the multiple deformities (fibroids) and the very large pedunculated fibroid tumor on top
Pitressin being injected at the base of the large fibroid (pitressin is one of the measures used to control bleeding.)
Pitressin being injected at the base of the large fibroid (pitressin is one of the measures used to control bleeding.)
Demonstrates fibroids being removed from the different levels of the uterine muscle.
Demonstrates fibroids being removed from the different levels of the uterine muscle.
Fibroid tumors being removed
Fibroid tumors being removed
Fibroid tumors being removed
Fibroid tumors being removed
Fibroid tumors being removed
Fibroid tumors being removed
The uterus completely free of fibroids, just prior to starting the reconstruction process.
The uterus completely free of fibroids, just prior to starting the reconstruction process.
The reconstruction in progress. Note how the left and right walls of the uterus are brought back together.
The reconstruction in progress. Note how the left and right walls of the uterus are brought back together.
The reconstruction in progress. Note how the left and right walls of the uterus are brought back together.
The reconstruction in progress. Note how the left and right walls of the uterus are brought back together.
The reconstruction of the uterus complete. Note the size difference from Photo #1
The reconstruction of the uterus complete. Note the size difference from Photo #1
The reconstruction of the uterus complete. Note the size difference from Photo #1
The reconstruction of the uterus complete. Note the size difference from Photo #1
Application of Interceed (small thin sheets used to aid in the prevention of adhesions)
Application of Interceed (small thin sheets used to aid in the prevention of adhesions)

 

Fibroid tumors

40 year old
Condition:
Fibroid tumors

History of increased menstrual flow for 10 days associated with significant cramps and large blood clots. FAS removed 92 tumors from uterus

Cantelope size fibroid uterus
Cantelope size fibroid uterus
Demonstrates Yag laser; Left fallopian tube is seen below ring finger
Demonstrates Yag laser; Left fallopian tube is seen below ring finger
Multiple fibroid tumors inside the endometrial cavity
Multiple fibroid tumors inside the endometrial cavity
Demonstrates the removal of a fibroid tumor from within the intramural region - deep in the uterine muscle
Demonstrates the removal of a fibroid tumor from within the intramural region - deep in the uterine muscle
The completely reconstructed uterus
The completely reconstructed uterus
The 92 fibroid tumors removed...for pathology
The 92 fibroid tumors removed...for pathology

 

Fibroid tumors

60 year old
Condition:
Fibroid tumors

Chief complaint of abdominal pain and pressure. Patient’s last normal menstrual period was at age 48. She refused a hysterectomy, but was told this was her only option since the fibroid was too large to remove and preserve the uterus.

Fibroid tumor and uterus being removed from the abdominal cavity...size approximated a 15 pound turkey
Fibroid tumor and uterus being removed from the abdominal cavity...size approximated a 15 pound turkey
The fibroid tumor and uterus is completely removed from abdominal cavity
The fibroid tumor and uterus is completely removed from abdominal cavity
Fibroid being removed from uterus
Fibroid being removed from uterus
Fibroid tumor completely removed from uterus, ready for pathology
Fibroid tumor completely removed from uterus, ready for pathology

 

Fibroid tumors and Adenomyosis

42 year old
Condition:
Fibroid tumors and Adenomyosis

Chief complaint of very heavy periods, lasting 10-12 days with large blood clots.
History of fibroid tumors since the age of 20.
This case demonstrates a combination of both fibroids (138 removed) and adenomyosis

Demonstrates the use of the Yag laser bare fiber. This is used to treat the adenomyosis in the uterine muscle
Demonstrates the use of the Yag laser bare fiber. This is used to treat the adenomyosis in the uterine muscle

 

Volleyball size uterus showing large fibroid and also small myomas
Volleyball size uterus showing large fibroid and also small myomas
Demonstrating the application if the Yag laser to make the first incision on the uterus
Demonstrating the application if the Yag laser to make the first incision on the uterus
Demonstrates the removal of various sizes of fibroid tumors
Demonstrates the removal of various sizes of fibroid tumors
Demonstrates the removal of various sizes of fibroid tumors
Demonstrates the removal of various sizes of fibroid tumors
Demonstrates the removal of various sizes of fibroid tumors
Demonstrates the removal of various sizes of fibroid tumors

 

Fibroid tumors

24 year old
Fibroid tumors

Symptoms: Very heavy, extended periods with large blood clots; Very painful cramps; Wanted to maintain her fertility

The honey dew melon size uterus removed from the abdominal cavity
The honey dew melon size uterus removed from the abdominal cavity
The Yag laser being applied to the uterus in a C-Section type of incision
The Yag laser being applied to the uterus in a C-Section type of incision
The fibroid tumor being bluntly separated from the uterine wall
The fibroid tumor being bluntly separated from the uterine wall
The Argon beam coagulator being applied to the uterine muscle prior to the reconstruction of the uterus
The Argon beam coagulator being applied to the uterine muscle prior to the reconstruction of the uterus
The final ties being placed on the reconstructed uterus
The final ties being placed on the reconstructed uterus