ABSTRACT

Leiomyomas are common benign tumors, but compared with uterine myomas, cervical myomas are rare and have a different presentation depending on their locations. They are closer to other organs such as the bladder, ureter, and rectum. Hence, the approach to the management of these fibroids needs to be modified depending on their location and size. Surgical difficulties associated with these cases, like poor access, more blood loss, difficulty in suturing, and distorted anatomy, need to be tackled well. With advanced and novel techniques, almost all myomas can now be treated laparoscopically. This chapter is an attempt to bring out safer techniques for management of cervical myomas and deal with the complicated cases or their complications. The authors emphasize that a cervical fibroid hysterectomy or myomectomy for any location can be performed safely using good techniques applied in a simplified way.