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Arch Gynecol Obstet. 2010 May;281(5):865-70. doi: 10.1007/s00404-009-1187-9. Epub 2009 Aug 5.

Laparoscopically assisted myomectomy versus abdominal myomectomy in short-term outcomes: a prospective study.

Author information

1
IAKENTRO, Advanced Medical Center, 4 A. Svolou Street, 54622, Thessaloniki, Greece. kalogiannidis@mailbox.gr

Abstract

PURPOSE:

Comparison between laparoscopically assisted myomectomy (LAM) and abdominal myomectomy (laparotomy), used in the management of women with intramural or subserous uterine fibroids up to 90 mm of maximum diameter.

METHODS:

Seventy-five premenopausal women were prospectively enrolled in the study, managed by LAM (n=48) or by laparotomy (n=27) approach. The short-term outcomes were compared between the two groups. The patient characteristics were also analyzed.

RESULTS:

The mean (+/-SD) estimated blood loss was significantly less in the LAM procedure compared with laparotomy (246+/-161 vs. 351+/-219 ml, respectively, P=0.03). Similarly, the operative time was shorter in the LAM modality compared with laparotomy (68+/-21 vs. 83+/-24 min, respectively, P=0.01). Intraoperative and postoperative complications were not different between the two groups. The mean days of the bowel reactivity (1.04+/-0.2) was faster (P<0.0001), while the duration of hospitalization (1.2+/-0.6) was shorter (P<0.0001) in the LAM technique, when compared with abdominal myomectomy (1.8+/-0.5 and 4.2+/-0.8, respectively).

CONCLUSIONS:

In selected group of patients, LAM as minimally invasive approach is an attractive alternative to conventional laparotomic myomectomy, offering significant advantages.

PMID:
19655158
DOI:
10.1007/s00404-009-1187-9
[Indexed for MEDLINE]

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