Open AccessLaparoscopic versus ultraminilaparotomic myomectomy for the treatment of large uterine myomas
Author(s) -
CIAVATTINI ANDREA,
TSIROGLOU DIMITRIOS,
TRANQUILLI ANDREA LUIGI,
LITTA PIETRO
Publication year - 2010
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016340903295592
Subject(s) - medicine , laparotomy , uterine myomectomy , myoma , surgery , laparoscopy , retrospective cohort study , leiomyoma , uterine rupture , task force , laparoscopic surgery , uterus , public administration , political science
We 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.