Abdominal Myomectomy and caput succedaneum

first of all, i wanna congratulate Mansoura Univ Hosp for its brand new clean modernize more sterilized OT! haha~ lawaaaaa sangat! impressive!!!
enough of those compliments. so this post is about abdominal myomectomy and caput sucadeoonoeum~~~ serious til now i donno how to pronounce it properly. adoi.

ok, abd myomectomy means that u make an incision at the lower part of the abdomen, open open.. cut cut. then find the uterus that got lotsa fibroids.. and then just remove the fibroid ONLY. sebelum ni kan total hysterectomy kan, means u buang everything (uterus+ovary+fallopian tube+cervix)
tapi kali ni... patient tu rasa dia nak get pregnant lagi. so since fibroid is a benign tumor, therefore she said she wants to keep her uterus. maka dgn itu Dr pun buat la myomectomy (removal of fibroid).. she's 40 years old btw. i have no idea why she still wanna get pregnant. biarla.. patient's rights~

tada! brand new clean OT! told you.. neat!!!!

ni gambar Dr tengah kopek keluar subserous fibroid from its capsule. Subserous means its protruding outside the uterus. dia ada banyak jenis, intramural (dlm muscle layer), submucous, pedunculated submucous+subserous etc. here's the diagram for types of fibroid. senang faham kot. kalau tak faham, can ask.

kami yang menyibuk~~

so these are the fibroids that have been taken out. Cam tak caye kan ada banyak giler fibroid in one person!! :-s


Ok next is about Caput Succedaneum. it means development of edema under the scalp of a newborn. benda ni normal, tak berlaku kat semua baby, tapi if ada, biarkan je. nanti dia recede sendiri. in about 2 weeks.
If u see in this picture, the newborn's head is not symmetry kan, notice x?? haaa. tu la caput succadaneum~ So no need to panic~ it will subside by itself