Dr. Kostolias is a PGY4 Resident, Columbia University Medical Center, New York, New York.
Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center.
Dr. Advincula is Levine Family Professor, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center. He serves on the OBG Management Board of Editors.
Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, SurgiQuest, and Titan Medical and receiving royalties from CooperSurgical. The other authors report no financial relationships relevant to this article.
Overview and demonstration of successful, safe, minimally invasive technique
Although broad ligament fibroids are rare, their surgical management includes nuances of anatomical awareness, traction and counter-traction techniques, and proper hemostasis.
This month’s surgical video presents the case of a 40-year-old woman who presented to the emergency department with sudden-onset abdominal pain. She had a history of menorrhagia and dysmenorrhea and had undergone uterine artery embolization.
The objectives of this technique video are to provide:
an overview of the background, clinical presentation, and imaging related to broad ligament fibroids
pertinent anatomical landmarks
a clinical case of robot-assisted laparoscopic myomectomy, demonstrating surgical technique
key points for successful and safe surgical management.
I hope you find this video to be a useful tool for your practice and that you share it, and the other technique videos on my Video Channel, with your colleagues.