Laparoscopic versus ultraminilaparotomic myomectomy for the treatment of large uterine myomas

Acta Obstetricia et Gynecologica Scandinavica - Tập 89 Số 1 - Trang 151-155 - 2010
Andrea Ciavattini1, Dimitrios Tsiroglou1, Andrea Luigi Tranquilli1, Pietro Litta2
1Department of Obstetrics and Gynecology, Politechnic University of Marche, Ancona, Italy
2Department of Gynecological Sciences and Human Reproduction Padua University, Padua, Italy.

Tóm tắt

AbstractWe compared short‐term surgical outcomes of laparoscopic and ultraminilaparotomic procedures for the treatment of large uterine myomas in a retrospective matched‐control study (Canadian Task Force classification II‐2) of 32 women with large myomas who underwent laparoscopic myomectomy and 32 women who had ultraminilaparotomic myomectomy (≤4 cm incision). Myomectomies were successfully performed for all women in both groups, but time to discharge was significantly lower after laparoscopic than after ultraminilaparotomic myomectomy (p = 0.01). Laparoscopic myomectomy seems to be the preferable approach for the treatment of large myomas of ≥5 cm, providing a more rapid recovery compared to the ultraminilaparotomic approach. Ultraminilaparotomy may be a valid alternative in case of laparoconversion instead of the classic laparotomy approach.

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Thông tin xuất bản

Acta Obstetricia et Gynecologica Scandinavica

Tập 89 Số 1

151-155

Thông tin tác giả