{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:22:33Z","timestamp":1788801753926,"version":"build-2803163510"},"reference-count":13,"publisher":"Galenos Yayinevi","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>Background: Leiomyomas are a common pathology in reproductive-aged women. However, they rarely originate from extrauterine sites. Vaginal leiomyomas constitute a challenging diagnosis, regarding their surgical treatment. Despite the well- established advantages of laparoscopic myomectomy, the efficacy and feasibility of a total laparoscopic approach for such cases has not been yet investigated.\n\nObjectives: To describe step-by-step the laparoscopic technique for vaginal leiomyoma removal (narrated video presentation) and demonstrate the outcomes of a small series managed at our institution.\n\nPatients: Three patients diagnosed with symptomatic vaginal leiomyomas that presented to our laparoscopic department. Patients aged 29, 35 and 47 years with BMI 20.6 kg\/m2, 19.5kg\/m2 and 30.1 kg\/m2, respectively.\n\nResults: Total laparoscopic excision of the vaginal leiomyomas was successful in all three cases without conversion to laparotomy. The technique is demonstrated in a step-by-step video narration. There were no major complications. Average operative time was 146.25 min (range 90- 190 min) and intraoperative blood loss was 120 ml (range 20-300ml). Fertility was preserved in all patients.\n\nConclusion: Laparoscopy is a feasible technique to approach vaginal masses. Further studies are needed to assess safety and efficacy of the laparoscopic technique in such cases.<\/jats:p>","DOI":"10.52054\/fvvo.15.2.067","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T13:15:55Z","timestamp":1688908555000},"page":"161-165","source":"Crossref","is-referenced-by-count":1,"title":["Vaginal Leiomyomas - Safe Steps for Laparoscopic removal: feasibility from 3 case reports"],"prefix":"10.52054","volume":"15","author":[{"given":"E","family":"Giovannopoulou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kogeorgos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Lazaridis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Pistofidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2023,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Braga A, Soave I, Caccia G et al. What is this vaginal bulge? An atypical case of vaginal paraurethral leiomyoma. A case report and literature systematic review. J Gynecol Obstet Hum Reprod. 2020;50:101822.","DOI":"10.1016\/j.jogoh.2020.101822"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Chakrabarti I, De A, Pati S. Vaginal leiomyoma. J MidLife Health. 2011;2:42-3.","DOI":"10.4103\/0976-7800.83274"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"\u00c7obano\u01e7lu \u00d6, G\u00fcrkan Zorlu C, Ergun Y et al. Leiomyosarcoma of the vagina. Eur J Obstet Gynecol Reprod Biol. 1996;70:205\u20137.","DOI":"10.1016\/S0301-2115(95)02554-5"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Faivre E, Surroca MM, Deffieux X et al. Vaginal myomectomy: literature review. J Minim Invasive Gynecol. 2010;17:154-60.","DOI":"10.1016\/j.jmig.2009.12.007"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Fasih N, Shanbhogue AKP, Macdonald DB et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008;28:1931\u201348.","DOI":"10.1148\/rg.287085095"},{"key":"ref5","unstructured":"Gottwald L, Welfel J, Akoel KM et al. Vaginal leiomyoma. Ginekol Pol. 2003;74:224-6."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Holub Z, Jabor A, Lukac J et al. Laparoscopic-assisted vaginal myomectomy: a feasibility study. Gynecol Surg. 2005;2:169\u201372.","DOI":"10.1007\/s10397-005-0115-7"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Iyer J, Al-Inizi S. Laparoscopic-guided vaginal excision of posterior-lateral vaginal fibroid. J Gynecol Surg. 2013;29:143\u20134.","DOI":"10.1089\/gyn.2012.0055"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Jin C, Hu Y, Chen XC et al. Laparoscopic versus open myomectomy--a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2009;145:14\u201321.","DOI":"10.1016\/j.ejogrb.2009.03.009"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Manoucheri E, Einarsson JI. Laparoscopic Removal of a Vaginal Myoma. J Minim Invasive Gynecol. 2013;20:S125.","DOI":"10.1016\/j.jmig.2013.08.427"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Stewart EA. Uterine fibroids. Lancet. 2001;357:293\u20138.","DOI":"10.1016\/S0140-6736(00)03622-9"},{"key":"ref11","unstructured":"De La Cruz MSD, Buchanan EM. Uterine Fibroids: Diagnosis and Treatment. Am Fam Physician. 2017;95:100-7."},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Zhang NN, Li D, Chen SL et al. An effective method using laparoscopy in treatment of upper vaginal leiomyoma. Fertil Steril. 2020;114:185\u20136.","DOI":"10.1016\/j.fertnstert.2020.03.026"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:47Z","timestamp":1739512547000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.15.2.067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,6]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.15.2.067","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]}}}