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<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="https://www.w3.org/1998/Math/MathML" xmlns:xlink="https://www.w3.org/1999/xlink" xmlns:xsi="https://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
      <?Pub Caret -1?>
      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">290.3</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/290.3</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Abdominal Hysterectomy as a Surgical Approach in Large Fibroids</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2024</year>
      </pub-date>
      <volume>2024</volume>
      <issue>11</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/290.3/abdominal-hysterectomy-as-a-surgical-approach-in-large-fibroids">Content is available at https://jomi.com/article/290.3/abdominal-hysterectomy-as-a-surgical-approach-in-large-fibroids</self-uri>
      <abstract>
        <p>Uterine fibroids, also known as leiomyomas, are usually benign masses that are most commonly found in women of reproductive age. Fibroids are usually asymptomatic and tend to be incidental findings on ultrasound. When clinically relevant, however, patients report symptoms such as menorrhagia, pelvic pain, and bulk-related symptoms. Treatment of symptomatic fibroids may be pharmaceutical with gonadotropin-releasing hormone agonists, radiological using MRI-guided focused ultrasound surgery (or magnetic resonance-guided focused ultrasound), or minimally-invasive uterine artery embolization, but the treatment is largely surgical. There are many different surgical approaches that can be utilized, including myomectomy or hysterectomy. Treatment of choice depends on multiple factors, including the severity of symptoms, size of fibroids, and patient’s desire to preserve fertility. However, out of all of the different surgical techniques available, hysterectomy is the only definitive treatment for these patients. Here, an abdominal hysterectomy was performed on a 45-year-old patient with symptomatic uterine fibroids. </p>
      </abstract>
      <kwd-group>
        <kwd>Abdonimal Hysterectomy</kwd>
        <kwd>Fibroids</kwd>
        <kwd>Leiomyoma</kwd>
        <kwd>Uterus</kwd>
        <kwd>ob/gyn</kwd>
        <kwd>Open</kwd>
        <kwd>Female</kwd>
        <kwd>Adult</kwd>
        <kwd>Advanced</kwd>
        <kwd>Elective</kwd>
        <kwd>Adhesiolysis</kwd>
        <kwd>Resource-Limited Settings</kwd>
        <kwd>Midline Incision</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>