Laparotomy for Uterine Fibroids

Surgical treatment of uterine fibroids used to be by laparotomy. During laparotomy the abdomen is opened. The cut can be either transverse or longitidinal.

a) An incision is made above the hairline (what some call the bikini cut)
b) The uterus is pulled out and a cut made to take out the fibroids buried within
c) After the cut is made in the uterus the fibroid is removed with the help of a myomectomy screw.
d) After thing out the fibroids the uterus is repaired. To ensure that it heals well and is strong enough to withstand the pressures of future childbearing it is often closed in 2 or more layers.
e) After repairing the uterus the abdomen is closed in layers
f) When there are as many fibroids as this the traditional open method (laparotomy) remains the best option
g) The same fibroids laid out to enable appreciation of scale
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