Laparotomic Myomectomy (myomectomy via laparotomy)

a.    Rationale - a one phrase detailing the reason for this material

b.    Content details – what will this contribution cover

c.     Patient selection, counselling and consent 

(who should be advised to have a laparotomy, what we discuss)

d.    Uterine preparation 

(use GnRH analogues or not?)

e.    Surgery preparation 

(devices- manipulators, dissectors, energy sources, haemostatic tools, sutures and instruments)

f.     Surgical techniques 

(incision, positioning, hysterotomy, fibroid enucleation, suturing, closure)

g.    Visual materials to include

a.    Drawings, photos

b.    White Board illustrations

c.     Video recordings (theory or surgical demonstrations)

h.    Adverse events, management and minimising risk

i.      Case presentations (description; thought process, intervention, outcome)

j.      Summary and conclusions

k.    Infographic or algorithm

 

Appropriate phenotype/patient 

Uterine preparation 

GnRH Modulators 

Devices/Equipment 

Uterine manipulation 

Energy sources 

Dissectors 

Suturing (needle drivers, suture types) 

Morcellation devices (morcelators, knives) 

Techniques 

General (Patient positioning, port positioning, etc) 

Hysterotomy, dissection 

Suturing 

Typ 3/4 myoma identification 

Post Procedure Management 

Adverse events 

Clinical outcomes 

Patient counseling