Ultra-Minilaparotomy Myomectomy: A Minimally Invasive Surgical Approach for the Treatment of Large Uterine Myomas

被引:14
作者
Ciavattini, Andrea [1 ]
Tsiroglou, Dimitrios [1 ]
Litta, Pietro [2 ]
Frizzo, Helga [1 ]
Tranquilli, Andrea Luigi [1 ]
机构
[1] Univ Politecn Marche, Dept Obstet & Gynecol, IT-60123 Ancona, Italy
[2] Univ Padua, Dept Gynecol Sci & Human Reprod, Padua, Italy
关键词
Myoma; Myomectomy; Ultra-minilaparotomy; Laparoscopy; LAPAROSCOPIC MYOMECTOMY; ABDOMINAL MYOMECTOMY; HYSTERECTOMY; SURGERY; RUPTURE; COMPLICATIONS; LAPAROTOMY; FERTILITY; FIBROIDS; DISEASE;
D O I
10.1159/000227764
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: In recent years, a growing number of more conservative methods for the treatment of uterine myomas has been reported. However, only a small number of techniques is used for the treatment of large myomas. Aims: In the present retrospective study, we report our experience with a group of patients who consecutively underwent ultra-minilaparotomy myomectomy for single or multiple large myomas, with diameter greater than 5 cm, with emphasis on the safety and efficacy of this procedure. Methods: Forty-one women underwent an ultra-minilaparotomy myomectomy that involved a ! 4 cm transverse skin incision, with or without laparoscopic assistance. Results: Mean operating time was 92.4 min, the mean hemoglobin decline was 2.0 g/dl and the mean hematocrit decline was 5.7%. The mean time to discharge was 84.3 h. No patient underwent a second surgery for early postoperative complications. Postoperative fever occurred in 4 patients, especially in patients who underwent ultra-minilaparotomy without assisted laparoscopy. There were two cases of severe anemia with re-course to blood transfusion. Conclusion: The results of this study suggest that ultra-minilaparotomy myomectomy with or without laparoscopic assistance might represent a safe and effective minimally invasive alternative to standard open myomectomy in the treatment of large myomas. Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:127 / 133
页数:7
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