Laparoscopy‐assisted myomectomy of large uterine myomas

Abstract

Objectives To compare laparoscopic‐assisted myomectomy with myomectomy by laparotomy. Design Non‐prospective study. Patients Women with large uterine myoma of >16 weeks. Interventions Laparoscopic‐assisted myomectomy (n = 31) and myomectomy by laparotomy (n = 29). Results The mean diameter and the weight of the myoma were 12.7 ± 3.5 cm and 267.5 ± 36.0 g in the laparoscopy‐assisted myomectomy group and 9.1 ± 0.6 cm and 332.6 ± 62.9 g in the laparotomy group. The mean length of hospital stay was significantly shorter in women who underwent laparoscopic‐assisted myomectomy (3.2 ± 0.2 days) than in those who underwent myomectomy by laparotomy (5.1 ± 0.3 days). Conclusions Laparoscopic‐assisted myomectomy is as effective as myomectomy by laparotomy, but it is associated with a smaller abdominal incision and shorter hospital stay.

Laparoscopic Myomectomy: A Single-center Retrospective Review of 514 Patients

“…However, this may be at the expense of longer operating times. Other potential advantages of the laparoscopic approach include a quicker recovery time with a more rapid return to work and activities of daily living (6).…”

Laparoscopic myomectomy is safe in patients with previous abdominal surgery

“…Additional possible benefits associated with the laparoscopic treatment encompass a shortened healing period, facilitating a faster resumption of occupational duties and engagement in routine daily tasks. 6 The effectiveness of laparoscopic myomectomy refers to a surgical treatment that is minimally invasive and does not require conversion to laparotomy. This procedure aims to completely and safely remove specifically chosen myomas using surgical excision.…”

Management of fibroids prior to in vitro fertilization/ intracytoplasmic sperm injection: A pragmatic approach

“…In comparison with traditional open myomectomy, the laparoscopic approach is associated with less postoperative pain and fever, and shorter hospital stay at the expense of longer operating times in a number of randomized clinical trials (15). Other potential advantages of the laparoscopic approach include a shorter recovery time with a quicker return to activities of daily living (16). …”