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J Obstet Gynaecol Res. 2012 Sep;38(9):1201-5. doi: 10.1111/j.1447-0756.2012.01852.x. Epub 2012 May 8.

Vaginal myomectomy is a safe and feasible procedure: a retrospective study of 46 cases.

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  • 1Department of Obstetrics and Gynecology, Ospedale Civile, Asiago, Italy.

Abstract

AIM:

The aim of this study was to establish the feasibility and safety of vaginal myomectomy via posterior colpotomy in a series of consecutive procedures performed by one surgeon.

MATERIAL AND METHODS:

We conducted a retrospective study in a tertiary care university hospital, involving 46 patients with symptomatic myomas and uteruses smaller than 16 gestational weeks and with no signs of pelvic disease. After a presurgical study, the patients underwent vaginal myomectomy. Characteristics of patients, position and size of myomas, operative data, intraoperative and postoperative complications, and length of hospital stay were recorded.

RESULTS:

Forty-four women underwent vaginal myomectomy and conversion to laparotomy was required in two cases (4.3%). Two patients suffered from infertility and one of these achieved pregnancy after the procedure. The median size of myomas was 50 mm (range 16-81). In two cases a culdoscopy was performed with a flexible fiberoptic gastroscope to better evaluate size and localization of myomas. Thirty-two patients underwent vaginal myomectomy under general anesthesia and 12 under locoregional anesthesia. The median vaginal operating time was 70 min (range 30-120). The estimated hemoglobin loss was 0.70 g/dL (range 0.40-3.35 g/dL). No severe intraoperative complications occurred. The median duration of hospital stay was 1 day (range 1-6).

CONCLUSIONS:

Vaginal myomectomy is a safe and feasible surgical procedure if performed by a well-trained, experienced surgeon.

[PubMed - indexed for MEDLINE]
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