Abdominal myomectomy—a safe procedure in an ambulatory setting

Effect of oxytocin infusion on reducing the blood loss during abdominal myomectomy: a double‐blind randomised controlled trial

“…2 In 20-50% of patients, fibroids may cause problems such as heavy menstrual bleeding, anaemia, pelvic pain and pressure, and symptoms from extrinsic compression of the colorectal and urinary tract. [1][2][3] Surgery is indicated for symptomatic uterine leiomyomas; hysterectomy for women who have completed childbearing (women > 40 years old), and myomectomy for women <40 years old who wish to preserve uterine and fertility. 4 Myomectomy can be accomplished by laparotomy, laparoscopy, or hysteroscopy (transvaginal) 1,[5][6][7][8] approaches.…”

Etiology, Diagnosis, and Management of Uterine Leiomyomas

“…It can be accomplished with minimal analgesia, minimal blood loss, a mean recovery time of 3.5 hours, and a low complication rate that allows for sameday discharge. 20 There is an increased, albeit rare, risk of uterine rupture in pregnancies following laparotomy and laparoscopic myomectomy involving uterine entry. 21 A more common risk following myomectomy is an increased risk of cesarean, with rates as high as 50% following laparotomy myomectomy.…”

Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy

“…Minilaparotomy is a modification of laparotomy where the skin incision does not exceed 5–6 centimetres [ 13 ], [ 44 ]. Although minilaparotomy was already described in the 1990s [ 45 ], only in the last decade, an increasing number of articles have been published concerning minilaparotomy as a minimally invasive treatment option for myomectomy [ 13 ], [ 46 ], [ 47 ]. Authors, who encourage myomectomy by minilaparotomy, state that this procedure has several advantages over laparoscopic myomectomy including the ability to palpate the uterus, the possibility to operate large myomas, no need for extra equipment and no need for advanced technical skills, especially in suturing the uterine incision [ 13 ], [ 48 ].…”