Evidence map›Paper›PMID 37988992›Full record

ArticleInternational journal of surgery case reports2023

Selecting the best surgical approach in various cases of prolapsed pedunculated submucosal fibroids: A case series.

Gita Nurul Hidayah, Achmad Kemal Harzif, Astri Noviani, Harry Prawiro Tantry, Budi Iman Santoso, Herbert Situmorang

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Gita Nurul HidayahUrogynecology, Reconstructive Pelvic and Aesthetic Surgery Division, Obstetrics and Gynaecology (O & G) Department, dr. Cipto Mangunkusumo Hospital Jakarta-Faculty of Medicine Universitas Indonesia (FMUI), Indonesia. Electronic address: nhgita01@ui.co.id.
Achmad Kemal HarzifImmunology & Reproductive Endocrinology Division, O & G Department, dr Cipto Mangunkusumo Hospital-FMUI, Indonesia.
Astri NovianiO & G Department, dr Cipto Mangunkusumo Hospital-FMUI, Indonesia.
Harry Prawiro TantryO & G Department, dr Cipto Mangunkusumo Hospital-FMUI, Indonesia.
Budi Iman SantosoUrogynecology, Reconstructive Pelvic and Aesthetic Surgery Division, Obstetrics and Gynaecology (O & G) Department, dr. Cipto Mangunkusumo Hospital Jakarta-Faculty of Medicine Universitas Indonesia (FMUI), Indonesia.
Herbert SitumorangReproductive Health Division, O & G Department, dr Cipto Mangunkusumo Hospital-FMUI, Indonesia.
Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe pedunculated fibroid is classically managed through vaginal myomectomy. However, vaginal myomectomy cannot be safely and easily performed in all cases. We reviewed three cases of prolapsed pedunculated submucosal fibroids, each with a specific surgical difficulty. PRESENTATION OF CASES: The first case had a prolapsed pedunculated uterine fibroid in pregnancy and underwent fibroid extirpation during an emergency cesarean section through the lower uterine segment incision. The second case was a nulliparous woman with recurrent abnormal uterine bleeding due to a giant prolapsed pedunculated uterine fibroid who underwent laparotomy fibroid extirpation through posterior colpotomy, preserving the uterus. The third case had a prolapsed pedunculated uterine fibroid in perimenopause with multiple fibroids and underwent fibroid stalk excision through an isthmic incision to facilitate a safe laparotomy hysterectomy procedure. DISCUSSION: Vaginal removal has become the standard surgical method for prolapsed pedunculated submucous fibroids. However, some possible consequences of vaginal myomectomy include severe stalk bleeding, infection, and uterus inversion induced by excessive traction. Therefore, specific approaches are needed in some circumstances.

conclusionCustomised surgical approaches provided safe and efficient access to the prolapsed pedunculated fibroid stalk during myomectomy or hysterectomy.

Indexed as

HysterectomyMyomectomyProlapsed pedunculated fibroidsSurgical technique

Identifiers

PMID37988992
PMCPMC10696232
OpenAlexW4388599397

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.