Rooma Sinha, MD, Honorary Professor, Gynecology and Associate Professor, Macquarie University, Sydney Australia; Senior Consultant Gynecologist and Minimal Access & Robotic Surgeon, Apollo Health City, Hyderabad, IndiaArnold P. Advincula, MD, Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology, Chief of Gynecologic Specialty Surgery, Sloane Hospital for Women; Medical Director, Mary & Michael Jaharis Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New YorkKurian Joseph, MD, DGO, Senior Gynecologist & Endoscopic Surgeon and Director, Joseph Hospitals, Chennai, India

• Chapter 1 Counseling and consent challenges in a woman with fibroid uterusChapter 2 Preoperative ultrasound imaging in fibroid uterusChapter 3 MRI before myomectomy: How can it help you?Chapter 4 Fibroid and infertility: When to suggest myomectomy?Chapter 5 Surgical treatment of fibroidsChapter 6 Reducing intraoperative blood loss in myomectomy: Better to prepare and prevent than repair and repentChapter 7 Hysteroscopic myomectomy: Resection techniques and safety Chapter 8 Laparoscopic-assisted myomectomyChapter 9 Robot-assisted myomectomyChapter 10 Robotic myomectomy: Tips and tricksChapter 11 Cervical fibroids: Techniques for myomectomy and hysterectomyChapter 12 Broad ligament fibroids: Techniques for myomectomy and hysterectomyChapter 13 Breach of endometrial cavity during myomectomy and its implications for susequent fertilityChapter 14 Predictors of uterine rupture and recurrence after myomectomyChapter 15 Secondary hemorrhage after myomectomyChapter 16 Laparoscopic surgery for fibroid uterus: When to convert to laparotomyChapter 17 Cesarean section in the setting of fibroid uterus and cesarean myomectomyChapter 18 AdenomyomectomyChapter 19 Morcellation techniques for fibroid uterusChapter 20 Parasitic fibroids Chapter 21 Laparoscopic hysterectomy in the setting of large fibroids Chapter 22 Robotic hysterectomy for fibroid uterus

This book offers a discussion of the preoperative counseling, diagnosis, and management of fibroids by exploring various imaging modalities and surgical techniques including hysteroscopy, laparoscopy, and robotic surgery and provide a global overview of the evaluation of fibroids along with the surgical nuances in their treatment modalities. This book is suitable for any practicing obstetrics/gynecology generalists who may want to enhance their surgical skills in minimal access surgery for fibroids. This may include those who have a special interest in minimally invasive gynecologic surgery, surgical fellows, and obstetrics/gynecology residents. The authors of the book are well recognized in their fields. The contributors are primarily from India with some from Italy, Germany, Thailand, Switzerland, Australia, and Russia, with a few from the United States. The 22 chapters address issues such as challenges in obtaining proper informed preoperative consent, in the diagnosis of fibroids through various imaging modalities, and in the surgical treatment of fibroids with myomectomy via hysteroscopic, laparoscopic, and robotic approaches. It discusses thesurgical approach to cervical, broad ligament, and parasitic fibroids, includes chapters on how to manage secondary hemorrhage after myomectomy, and provides recommendations on when to convert from laparoscopy to laparotomy. It highlights both the conservative surgical approach with myomectomy and definitive surgery with hysterectomy through laparoscopy, along with a discussion of morcellation techniques. This book is valuable for its intended audience and meets its teaching objectives.Lisa Chao, M.D.(University of Texas Southwestern Medical Center)

Rooma Sinha, MD, Honorary Professor, Gynecology and Associate Professor, Macquarie University, Sydney Australia; Senior Consultant Gynecologist and Minimal Access & Robotic Surgeon, Apollo Health City, Hyderabad, IndiaArnold P. Advincula, MD, Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology, Chief of Gynecologic Specialty Surgery, Sloane Hospital for Women; Medical Director, Mary & Michael Jaharis Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New YorkKurian Joseph, MD, DGO, Senior Gynecologist & Endoscopic Surgeon and Director, Joseph Hospitals, Chennai, India

• Chapter 1 Counseling and consent challenges in a woman with fibroid uterusChapter 2 Preoperative ultrasound imaging in fibroid uterusChapter 3 MRI before myomectomy: How can it help you?Chapter 4 Fibroid and infertility: When to suggest myomectomy?Chapter 5 Surgical treatment of fibroidsChapter 6 Reducing intraoperative blood loss in myomectomy: Better to prepare and prevent than repair and repentChapter 7 Hysteroscopic myomectomy: Resection techniques and safety Chapter 8 Laparoscopic-assisted myomectomyChapter 9 Robot-assisted myomectomyChapter 10 Robotic myomectomy: Tips and tricksChapter 11 Cervical fibroids: Techniques for myomectomy and hysterectomyChapter 12 Broad ligament fibroids: Techniques for myomectomy and hysterectomyChapter 13 Breach of endometrial cavity during myomectomy and its implications for susequent fertilityChapter 14 Predictors of uterine rupture and recurrence after myomectomyChapter 15 Secondary hemorrhage after myomectomyChapter 16 Laparoscopic surgery for fibroid uterus: When to convert to laparotomyChapter 17 Cesarean section in the setting of fibroid uterus and cesarean myomectomyChapter 18 AdenomyomectomyChapter 19 Morcellation techniques for fibroid uterusChapter 20 Parasitic fibroids Chapter 21 Laparoscopic hysterectomy in the setting of large fibroids Chapter 22 Robotic hysterectomy for fibroid uterus

This book offers a discussion of the preoperative counseling, diagnosis, and management of fibroids by exploring various imaging modalities and surgical techniques including hysteroscopy, laparoscopy, and robotic surgery and provide a global overview of the evaluation of fibroids along with the surgical nuances in their treatment modalities. This book is suitable for any practicing obstetrics/gynecology generalists who may want to enhance their surgical skills in minimal access surgery for fibroids. This may include those who have a special interest in minimally invasive gynecologic surgery, surgical fellows, and obstetrics/gynecology residents. The authors of the book are well recognized in their fields. The contributors are primarily from India with some from Italy, Germany, Thailand, Switzerland, Australia, and Russia, with a few from the United States. The 22 chapters address issues such as challenges in obtaining proper informed preoperative consent, in the diagnosis of fibroids through various imaging modalities, and in the surgical treatment of fibroids with myomectomy via hysteroscopic, laparoscopic, and robotic approaches. It discusses thesurgical approach to cervical, broad ligament, and parasitic fibroids, includes chapters on how to manage secondary hemorrhage after myomectomy, and provides recommendations on when to convert from laparoscopy to laparotomy. It highlights both the conservative surgical approach with myomectomy and definitive surgery with hysterectomy through laparoscopy, along with a discussion of morcellation techniques. This book is valuable for its intended audience and meets its teaching objectives.Lisa Chao, M.D.(University of Texas Southwestern Medical Center)

Rooma Sinha, MD, Honorary Professor, Gynecology and Associate Professor, Macquarie University, Sydney Australia; Senior Consultant Gynecologist and Minimal Access & Robotic Surgeon, Apollo Health City, Hyderabad, IndiaArnold P. Advincula, MD, Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology, Chief of Gynecologic Specialty Surgery, Sloane Hospital for Women; Medical Director, Mary & Michael Jaharis Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New YorkKurian Joseph, MD, DGO, Senior Gynecologist & Endoscopic Surgeon and Director, Joseph Hospitals, Chennai, India

• Chapter 1 Counseling and consent challenges in a woman with fibroid uterusChapter 2 Preoperative ultrasound imaging in fibroid uterusChapter 3 MRI before myomectomy: How can it help you?Chapter 4 Fibroid and infertility: When to suggest myomectomy?Chapter 5 Surgical treatment of fibroidsChapter 6 Reducing intraoperative blood loss in myomectomy: Better to prepare and prevent than repair and repentChapter 7 Hysteroscopic myomectomy: Resection techniques and safety Chapter 8 Laparoscopic-assisted myomectomyChapter 9 Robot-assisted myomectomyChapter 10 Robotic myomectomy: Tips and tricksChapter 11 Cervical fibroids: Techniques for myomectomy and hysterectomyChapter 12 Broad ligament fibroids: Techniques for myomectomy and hysterectomyChapter 13 Breach of endometrial cavity during myomectomy and its implications for susequent fertilityChapter 14 Predictors of uterine rupture and recurrence after myomectomyChapter 15 Secondary hemorrhage after myomectomyChapter 16 Laparoscopic surgery for fibroid uterus: When to convert to laparotomyChapter 17 Cesarean section in the setting of fibroid uterus and cesarean myomectomyChapter 18 AdenomyomectomyChapter 19 Morcellation techniques for fibroid uterusChapter 20 Parasitic fibroids Chapter 21 Laparoscopic hysterectomy in the setting of large fibroids Chapter 22 Robotic hysterectomy for fibroid uterus

This book offers a discussion of the preoperative counseling, diagnosis, and management of fibroids by exploring various imaging modalities and surgical techniques including hysteroscopy, laparoscopy, and robotic surgery and provide a global overview of the evaluation of fibroids along with the surgical nuances in their treatment modalities. This book is suitable for any practicing obstetrics/gynecology generalists who may want to enhance their surgical skills in minimal access surgery for fibroids. This may include those who have a special interest in minimally invasive gynecologic surgery, surgical fellows, and obstetrics/gynecology residents. The authors of the book are well recognized in their fields. The contributors are primarily from India with some from Italy, Germany, Thailand, Switzerland, Australia, and Russia, with a few from the United States. The 22 chapters address issues such as challenges in obtaining proper informed preoperative consent, in the diagnosis of fibroids through various imaging modalities, and in the surgical treatment of fibroids with myomectomy via hysteroscopic, laparoscopic, and robotic approaches. It discusses thesurgical approach to cervical, broad ligament, and parasitic fibroids, includes chapters on how to manage secondary hemorrhage after myomectomy, and provides recommendations on when to convert from laparoscopy to laparotomy. It highlights both the conservative surgical approach with myomectomy and definitive surgery with hysterectomy through laparoscopy, along with a discussion of morcellation techniques. This book is valuable for its intended audience and meets its teaching objectives.Lisa Chao, M.D.(University of Texas Southwestern Medical Center)