Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
London NW3 2QG, UK


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A new website for gynaecologists interested in the surgical management of fibroids is now on line.

Open myomectomy using ovarian clamps (triple tourniquets)

If fibroids are large and/or numerous, the only option which removes the fibroids but conserves the uterus is open myomectomy, that is myomectomy done via an abdominal incision (laparotomy). We routinely use a modified technique of "triple tourniquets" to reduce intra-operative blood loss:

a. A cable tie is passed around the cervix is used to occlude the uterine arteries.
b. The new Ovarian artery clamps are placed medial to the ovaries to occlude the ovarian arteries.

The ovarian artery clamps were designed at the Royal Free Hospital specifically for use at open myomectomy to allow the ovarian vessels to be occluded without compromising the ovarian blood supply during surgery (as is the case with conventional tourniquets placed laterel to the ovaries) or damaging the fallopian tubes (as would be the case if conventional tourniquets were to be applied medial to the ovaries).

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Ultrasound scan

You have probably had an ultrasound scan before as it is a very common investigation. A pelvic scan can be done abdominally or via the vagina. The procedure is quick, painless and gives a very useful image of your uterus (womb) and ovaries. Apart from fibroids, ultrasound can also diagnose polyps, thickened endometrium (lining of the uterus), and ovarian cysts.