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00:30:07 | 35 enrolled
Conference Talk
Myoma Management - Modern Mantras Speaker: Rishma Pai
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In this presentation, Dr. Rishma Dhillon Pai discusses the diagnosis and preoperative evaluation, classification and symptoms of fibroids;   the mechanisms by which myomas may adversely affect fertility and the principles governing of the choice of treatment. The role of hysteroscopy, the surgical techniques in the management of submucous fibroids and the role of cold loop hysteroscopic myomectomy is presented. The management of intramural and serosal fibroids and the role of morcellation and laparoscopic hysterectomy is discussed.

Dr. Rishma provides tips for safe laparoscopic multiple myomectomy. Robotic approach may be favored for cases with higher complexity and multiple fibroids myomectomy. Newer modalities of treatment include magnetic resonance-guided high-intensity focused ultrasound; ultra sound guided high-intensity focused ultrasound, uterine artery embolization (laparoscopic bilateral uterine artery occlusion, transvaginal Doppler guided vascular clamp) and radio frequency ablation of fibroids (intrauterine ultrasound guided and laparoscopic radio frequency ablation). The role of medical management in fibroids and current guidelines for management of fibroids are included.

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