Wound retraction system for gasless laparoscopic-assisted myomectomy with a subcutaneous abdominal wall-lift method

Temporary endovascular balloon occlusion of the bilateral internal iliac arteries for control of hemorrhage during laparoscopic-assisted myomectomy in a nulligravida with a large cervical myoma

“…Gasless LAM with an Alexis wound retractor (Applied Medical, Rancho Santa Margarita, CA) was performed under general anesthesia as previously described (4). Suprapubic transverse incision length was 3.5 cm in the present case.…”

Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy

“…Surgical duration was 79 min. Because postoperative anemia (hemoglobin [Hb] 8.2 g/dL) was noted, 800 mL preoperatively donated autologous blood (9) was transfused back to the patient. The early postoperative course was uneventful.…”

“…In the present report, two cases of uterine artery pseudoaneurysm diagnosed by multimodal imaging during the early postoperative period after laparoscopic-assisted myomectomy (LAM) (9) and successfully treated by transcatheter arterial embolization (TAE) (8, 10) are described.…”

Diagnostic Computed Tomographic Angiography and Therapeutic Emergency Transcatheter Arterial Embolization for Management of Postoperative Hemorrhage after Gynecologic Laparoscopic Surgery

“…Gasless laparoscopic surgery was performed with abdominal wall lifting by the subcutaneous lift system (Mizuho, Tokyo, Japan) [15]. Procedures for laparoscopic-assisted myomectomy (LAM) [15], laparoscopic-assisted vaginal hysterectomy (LAVH) [16], adnexal surgery [17], and ectopic pregnancy surgery [18] have been reported elsewhere.…”

“…Procedures for laparoscopic-assisted myomectomy (LAM) [15], laparoscopic-assisted vaginal hysterectomy (LAVH) [16], adnexal surgery [17], and ectopic pregnancy surgery [18] have been reported elsewhere. All patients who received scheduled surgery had preoperatively donated autologous blood in amounts ranging from 400 to 1200 mL [15][16][17], depending on the predicted degree of difficulty during the procedures and this blood was transfused back to the selected patients depending on the amounts of intraoperative bleeding. Further, if massive hemorrhage occurred during surgery, salvage device-based intraoperative autologous blood donation and transfusion were also performed [15,18].…”