TRANSVAGINAL MYOMECTOMY FOR LARGE SUBSEROUS UTERINE LEIOMYOMA (CASE REPORT) | Medicine in Kuzbass

PDF (Russian)

Issue:

Vol. 25 No. 3 (2026): September

Section:

CASE HISTORY

Published:
2026-09-30

Lyubov Nikitichna Petrich

Kuzbass Regional Clinical Hospital for Emergency Medical Care named after M.A. Podgorbunsky, 650000, Kemerovo, st. Nikolay Ostrovsky, 22

Larisa Egorovna Fetishcheva

Kuzbass Regional Clinical Hospital for Emergency Medical Care named after M.A. Podgorbunsky, 650000, Kemerovo, st. Nikolay Ostrovsky, 22

Larisa Nikolaevna Danilova

Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Elena Vladimirovna Rudaeva

Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Vadim Gelievich Moses

Kemerovo State University, 650000, Kemerovo, Krasnaya Street, 6

Svetlana Ivanovna Elgina

Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Kira Borisovna Moses

Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Natalya Stepanovna Chernykh

Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Abstract

Uterine fibroids are among the most common benign tumors of the female reproductive system, occurring in 20-40% of women of late reproductive age. The transvaginal approach to myomectomy remains understudied; however, in a select group of patients, it combines the advantages of an organ-preserving and minimally invasive approach. Transvaginal myomectomy is a technically feasible and organ-preserving technique for carefully selected patients with subserosal and interstitial-subserosal nodes of the posterior uterine wall. Key factors for effectiveness include adequate patient selection, mastery of colpotomy technique, and active follow-up in the early postoperative period. A clinical case of surgical treatment of a 46-year-old patient who underwent posterior colpotomy with fragmentary removal of a fibroid node under spinal anesthesia is presented.

Keywords

uterine fibroids, transvaginal myomectomy, posterior colpotomy, organ-preserving surgery

Author Biographies

Lyubov Nikitichna Petrich,

candidate of medical sciences, obstetrician-gynecologist of the gynecology department N 1

Larisa Egorovna Fetishcheva,

candidate of medical sciences, head of the gynecology department N 1

Larisa Nikolaevna Danilova,

candidate of medical sciences, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Elena Vladimirovna Rudaeva,

candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Vadim Gelievich Moses,

doctor of medical sciences, professor, director of the Medical Institute

Svetlana Ivanovna Elgina,

doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova

Kira Borisovna Moses,

assistant of the department of polyclinic therapy and nursing

Natalya Stepanovna Chernykh,

candidate of medical sciences, docent, docent of the department of outpatient pediatrics, propaedeutics of childhood diseases, and postgraduate training

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

© Lyubov Nikitichna Petrich, Larisa Egorovna Fetishcheva, Larisa Nikolaevna Danilova, Elena Vladimirovna Rudaeva, Vadim Gelievich Moses, Svetlana Ivanovna Elgina, Kira Borisovna Moses, Natalya Stepanovna Chernykh, 2026

This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Petrich, L. N., Fetishcheva, L. E., Danilova, L. N., Rudaeva, E. V., Moses, V. G., Elgina, S. I., Moses, K. B., & Chernykh, N. S. (2026). TRANSVAGINAL MYOMECTOMY FOR LARGE SUBSEROUS UTERINE LEIOMYOMA (CASE REPORT). Medicine in Kuzbass, 25(3), 169-172. https://mednauki.ru/index.php/MK/article/view/1559

References

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