European Journal of Molecular & Clinical Medicine

Purpose of the present research was to evaluate the clinical considerations as well as the outcome of laproscopic myomectomy in various uterine myomas.
Methodology: This was an observational study in women who have undergone laparoscopic myomectomy (LM) because of single symptomatic myoma >4 cm in diameter. We collected data about general features, surgical outcomes, intraoperative/ postoperative complications and time to return to normal activity.
Results: A total of 200 patients (mean age 36.7 ± 6.4 years) resulted eligible for the study. Myomas sized between 8 and 12 cm were linked to an increased amount of blood loss (significantly higher in intramural than subserosal myoma). The removal of intramural myomas >8 cm and the subserosal ones >12 cm required a significant longer surgical time. Patients returned 17.9 ± 9.5 days after surgery to their personal activities. Six cases (1.35 %) required conversion to laparotomy, and only in two cases blood transfusion was necessary.
Conclusion: Myomas size and type represent the best predictors of surgical difficulties and possible intrapostoperative complications. Intramural myomas >8 cm and subserosal ones >12 cm should be considered as a challenging procedure. LM remains the gold standard approach

SICH is caused by non-traumatic bleeding and the underlying causes such as arterial (large
and small vessel disease), venous diseases, vascular malformations and hemostatic disorders
must be further evaluated. In cases of TICH further evaluation of counter coup injuries,
presence of extradural hematoma and subdural hematoma must be looked for. Hence
differentiating between the two forms of ICH is important. Source of Data -patients
presenting to VIMS Neurosurgery department with either spontaneous or traumatic ICH and
posted for keyhole craniectomy were included as a part of the study over a period of 3 years
Aug 2017 to Aug 2021. The location of ICH in spontaneous ICH was most commonly
observed in basal ganglia region .The incidence of traumatic ICH was highest in temporal
region followed by frontal region with a few in parietal and occipital region. Though the
incidence of traumatic ICH was more common in our study it had a better outcome with death
being reported in only 2 out of 25 patients as opposed to spontaneous ICH in which 5 out of
15 patients succumbed .This may be attributed to the elderly age of presentation and presence
of comorbidities in spontaneous as opposed to traumatic ICH