Laparoscopic-Guided Vaginal Excision of Posterior-Lateral Vaginal Fibroid

Abstract

Background: Leiomyomas are benign mesenchymal tumors that tend to develop in the uterus but there are extrauterine occurences as well, such as in the vaginal wall. Case: A 35-year old woman had a history of pelvic and vaginal pain, accompanied by a sensation of a mass in her vagina. Examination revealed that she did indeed have such a mass, and laparoscopic excision was planned to relieve her pain. During the operation, the mass was visualized as bulging through her posterolateral pelvic side wall on her right side. The mass was removed. Results: The mass was determined to be a benign vaginal wall leiomyoma. The patient's recovery was uneventful and she had no problems at a follow-up. Conclusions: Because vaginal wall fibroid tumors are close to ureters, laparoscopic guidance is recommended for the removal of such tumors. ( J GYNECOL SURG 29:143)

Vaginal Leiomyomas - Safe Steps for Laparoscopic removal: feasibility from 3 case reports

“…Few attempts to approach vaginal leiomyomas laparoscopically are presented in the literature ( Braga et al, 2020 ; Iyer and Al-Inizi, 2013 ; Manoucheri and Einarsson, 2013 ; Zhang et al, 2020 ). In all these cases except one, a laparoscopic approach was used either to guide vaginal excision or during total laparoscopic hysterectomy.…”

“…In 2013, Iyer and Al-Inizi ( 2013 ) described a case of laparoscopically guided vaginal excision of a vaginal leiomyoma located laterally at the posterior fornix. The mass measured 3.6 cm and was completely dissected by a vertical incision on the lateral vaginal wall.…”

“…According to our literature review, no additional cases have been added in the literature since then. Few attempts to approach vaginal leiomyomas laparoscopically are presented in the literature (Braga et al, 2020;Iyer and Al-Inizi, 2013;Manoucheri and minutes and there were no surgical complications. The woman was followed for the next 20 months; she subsequently became pregnant and had an uneventful vaginal delivery (Zhang et al, 2020).…”