In view of the initial diagnostic hypothesis of a prolapsed fibroid, vaginal myomectomy was performed.
The initial surgical procedure performed (vaginal myomectomy) would have been sufficient to completely resect the tumor in this case, since histopathology following the second procedure (total abdominal hysterectomy and bilateral adnexectomy) failed to detect any signs of residual UTROSCT, confirming the low malignant potential of this type of tumor.
Uterine inversion was corrected abdominally by Haultain's procedure after vaginal myomectomy
followed by abdominal hysterectomy.
My response: history-taking, a gentle exam, an explanation to the patient, a sponge stick on the fibroid, and about 10 to 20 twists to produce a vaginal myomectomy
! The cost included the ER visit and a small bill for services rendered.
We performed a vaginal myomectomy
; the leiomyoma weighed 300 g, but could not correct the uterine inversion vaginally through the cervical ring.
Patient was kept on conservative treatment till 37 completed weeks and decision of vaginal myomectomy