Laparoscopic hysterectomy for atypical endometrial hyperplasia in a patient with myotonic dystrophy—Differences in Perioperative Course between Two Sisters Surgically Treated with Hysterectomies —

Abstract

  Myotonic dystrophy (MD) is an inherited autosomal dominant multi-systemic neuromuscular disease, and enhanced risk of neoplasms are reported. In perioperative management, respiratory and circulatory complications may occur, particularly under general anesthesia. We present a case of MD with a laparoscopic total hysterectomy (TLH) for endometrial atypical hyperplasia. We will discuss the differences in the perioperative course between the sisters, both of whom suffer from MD, after one sister's surgical treatment with a total abdominal hysterectomy (TAH) for endometrial cancer occurring at approximately the same time.