Good afternoon, we are going to operate on the first patient that we had a while ago that I mentioned, a 37-year-old from Puerto Vallarta, with 2 subserosal fibroids, right now we are going to show them to you so that you can see them and later when we do the resection. I wanted to show you, see, we already morcellated part of the fibroid because it was too big a fibroid, we morcellated it, we managed to remove what I told you is a pure pedicle, but it is one and the other was here like the son and this is the pedicle, look, it has been twisted, very easy because here we are going to give some points. Here is the uterus…
Left tube, right round ligament, ovary, here you have another subserous myomite and there you have another subserous myoma there at the bottom
It’s impressive, I’ll show you right now.
Left tube, left round ligament, right now we’re going to finish. Look, we already have the other pedunculated fibroid, on the posterior side it is, but there it has another subserous fibroid and then it has an intramural subserous fibroid down there almost in the region of the sacrum, intro-sacrum, so it is very important that we remove this patient those because it tends to make multiple fibroids and especially subserosal, the problem with subserosal, as I said, is that many times they do not cause problems and they begin to grow and since they have too large vascular pedicles, they are fibroids that sometimes grow to sizes like the ones we have operated from 2 kilos, 3 kilos.
So we are going to finish a relatively easy surgery because they are subserosal but they still take care of the vascular pedicle. We already removed the fibroid on the posterior surface but how beautiful its anatomy looks, the uterus is still of a regular, normal size, this is a normal uterus. We put the posterior face here, here is the posterior pedicle on the right side, but here is the right ovary, look at what a beautiful ovary it has, the patient is 37 years old, right ovary, left ovary, which is how they are normally placed leaning on the face posteriorly, here is the tube on the right side, the round ligament that supports it, here is the same round ligament, the tube, see the large uterine arms but we are done, here is the other pedunculate, the surgery lasted an hour with fibroids too large but this patient has a very good reproduction or reproductive future.