ORIGINAL RESEARCH article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1564667
Cervical Fibroids: The Vaginal Intracapsular Myomectomy with Classification by the Fibroids' Origin, Growth Directions and Localizations. Authors
Provisionally accepted
ANDREA TINELLI1
Ospan A Mynbaev2*
Gaetano Panese1
Martina Licchelli1
Giovanni Pecorella1
ANTONIO MALVASI3
Kosmas P Ioannis4
Michael Stark2
Wenming Cao5*- 1Veris Delli Ponti Hospital, Lecce, Apulia, Italy
- 2New European Surgical Academy (NESA), Berlin, Baden-Württemberg, Germany
- 3University of Bari Aldo Moro, Bari, Italy
- 4University of Ioannina, Ioannina, Greece
- 5Shenzhen Pingshan District People’s Hospital, Shenzhen, China
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Aim of the study: To define the impact of cervical fibroids (CFs) localization, size, and their combined presence on the feasibility of performing cervical intracapsular myomectomy (CIME) by using a vaginal approach.Objective: Evaluation of the feasibility of conducting CIME via the transvaginal approach.This retrospective cohort observational study included 32 patients who underwent CIME. The findings were evaluated by comparing them with the outcomes of 1204 patients with CFs reported in the English and Chinese literature.The study demonstrated that CIME by vaginal approach can be successfully performed on CFs with a mean size of 8.08 cm (95% CI: 7.44-8.73 cm) for extracervical anterior and posterior sites, 7.61 cm (95% CI: 7.09-8.14 cm) for extracervical and intracervical lateral localizations, and 5.36 cm (95% CI: 4.71-6.35 cm) for combined CFs in two different localization sites. The feasibility and efficiency of the suggested CIME technique were confirmed through a comparative analysis of perioperative endpoints from 326 vaginal, 643 laparoscopic, and 235 laparotomic myomectomies documented in the literature.The findings highlight key issues related to the suggested original CIME technique performed via a direct vaginal approach. They also provide a comprehensive classification of CFs along with the CFs' clinical manifestations based on the type of growth direction, locations, and fibroid maturity. These findings may have implications for managing patients with CFs.
Keywords: uterine cervix, Cervical leiomyoma, cervical fibroids, cervical intracapsular myomectomy, Vaginal myomectomy, Laparoscopic myomectomy, Open myomectomy, Laparotomic myomectomy
Received: 21 Jan 2025; Accepted: 18 Apr 2025.
Copyright: © 2025 TINELLI, Mynbaev, Panese, Licchelli, Pecorella, MALVASI, Ioannis, Stark and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ospan A Mynbaev, New European Surgical Academy (NESA), Berlin, 10117, Baden-Württemberg, Germany
Wenming Cao, Shenzhen Pingshan District People’s Hospital, Shenzhen, China
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