Clinical evaluation of transvaginal myomectomy surgery: a retrospective study of 138 cases

Abstract

Objectives:The aim of this study was to evaluate the safety, feasibility, and effectiveness of transvaginal myomectomy surgery. Material and methods:We conducted a retrospective study in Shengjing Hospital of China Medical University. In all, 138 patients underwent transvaginal myomectomy from March 2009 to March 2019. The perioperative clinical data, such as position and size of myomas, operative duration, blood loss, intraoperative and postoperative complications, and hospitalization time were retrospectively analyzed.Results: All transvaginal myomectomies were performed without conversion to laparotomy. The mean vaginal operating time was 56.0 (± 17.2) minutes. The mean operative estimated blood loss was 89.2 (± 36.8) mL. No significant intraoperative complications occurred. The median time of intestinal function recovery after operation was 1 day (range 1-4 days). The median time of hospital stay was 4 days (range 3-10 days); 12 (8.7%) patients experienced postoperative morbidity. Conclusions:Transvaginal myomectomy is a minimally invasive surgery that can be performed without leaving a scar on the body surface. It can be performed safely and effectively by a skilled surgeon in cases with a specific surgical indication for this approach.