Laparoscopic Myomectomy: Clinical Outcomes and Comparative Evidence

被引:50
作者
Buckley, Victoria A. [1 ,2 ]
Nesbitt-Hawes, Erin M. [1 ,2 ]
Atkinson, Paul [1 ,2 ]
Won, Ha Ryun [1 ,2 ]
Deans, Rebecca [1 ,2 ]
Burton, Alice [2 ]
Lyons, Stephen D. [1 ,2 ]
Abbott, Jason A. [1 ,2 ]
机构
[1] Univ New S Wales, Sydney, NSW, Australia
[2] Royal Hosp Women, Randwick, NSW 2031, Australia
关键词
Complications of myomectomy; Laparoscopic myomectomy; Myomectomy; UTERINE ARTERY EMBOLIZATION; DISSEMINATED PERITONEAL LEIOMYOMATOSIS; ABDOMINAL MYOMECTOMY; ADHESION FORMATION; SURGICAL-PROCEDURE; PARASITIC MYOMAS; RECURRENCE RATE; BARBED SUTURE; FIBROIDS; PREGNANCY;
D O I
10.1016/j.jmig.2014.08.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence, risk of uterine rupture in future pregnancies, and potential dissemination of cells with use of morcellation. This review outlines techniques for performance of laparoscopic myomectomy and critically appraises the available evidence for operative data, short-term and long-term complications, and reproductive outcomes. (C) 2015 AAGL. All rights reserved.
引用
收藏
页码:11 / 25
页数:15
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