Open AccessLaparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids
Author(s) -
ChinJung Wang,
Hsing-Tse Yu,
PeiJu Wu,
Hsuan Su,
KouJuey Wu,
Chien-Min Han
Publication year - 2013
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2013.05.001
Subject(s) - medicine , interquartile range , uterine fibroids , surgery , laparoscopy , blood loss , uterine myomectomy , leiomyoma , myoma , uterus
ObjectiveTo evaluate the efficacy of laparoscopy in treating large submucous fibroids with deeply intramural invasion.Study designTwenty-eight women with a main submucous fibroid >4 cm and with >50% intramural extension were enrolled in this study. Laparoscopic myomectomy was performed instead of hysteroscopic surgery.ResultsMedian fibroid diameter and weight were 5.0 cm [interquartile range (IQR) 4.6–6.0 cm] and 50.0 g (IQR 36.3–77.5 g), respectively. Median operating time was 60 minutes (IQR 50.0–73.8 minutes) and blood loss was 50 mL (IQR 50–100 mL). Median postoperative hospital stay was 2 days (IQR 2–3 days) and no patient developed complications. Seven women had coexistence of intramural and/or subserosal fibroids (median number of fibroids removed was 1, IQR 1–2).ConclusionWhen the diagnosis of submucous fibroid >4 cm with >50% intramural extension is made, laparoscopic myomectomy can be performed instead of hysteroscopic surgery for the sake of safety and removal of nonsubmucous type fibroids concomitantly