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J Minim Invasive Gynecol. 2010 May-Jun;17(3):306-10. doi: 10.1016/j.jmig.2010.01.011. Epub 2010 Mar 19.

Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas.

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  • 1Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, NY, USA. Charles.Ascher-Walsh@mssm.edu

Abstract

STUDY OBJECTIVE:

To compare surgical and immediate postoperative results of robot-assisted laparoscopic myomectomy vs myomectomy via laparotomy in patients with 3 myomas or fewer.

DESIGN:

Case-control (Canadian Task Force classification II-2).

SETTING:

University hospital.

PATIENTS:

Seventy-five women who had undergone robotic-assisted laparoscopic myomectomy were compared with patients who had undergone myomectomy via laparotomy.

INTERVENTIONS:

Medical records were reviewed for surgical and postoperative variables. Both groups had 3 myomas or fewer confirmed at preoperative magnetic resonance imaging or final pathology report.

MEASUREMENTS AND MAIN RESULTS:

No significant differences were observed between patients insofar as preoperative demographic data. There was a significant increase in mean duration of surgery for robotic-assisted myomectomy. There was a significant decrease in blood loss, change in hematocrit concentration on postoperative day 1, length of stay, number of days to regular diet, and febrile morbidity in robotic-assisted myomectomies. There were no significant differences in operative or postoperative complications.

CONCLUSION:

Although robotic-assisted myomectomy took substantially longer, most of the other variables improved in comparison with similar procedures performed via laparotomy.

Copyright 2010 AAGL. Published by Elsevier Inc. All rights reserved.

PMID:
20303834
[PubMed - indexed for MEDLINE]
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