Chain removal of myomata by colpotomy

In-Bag extraction tissue through the middle part incision of posterior vagina in laparoscopic myomectomy：a large retrospective study

“…The selection of the method of taking out the specimen through vagina has been reported for a long time [30][31][32][33] .However, most of the studies use the incision of the posterior fornix, which is at a high position, and the operation of incision and suture is di cult Antonio Simone Lagana et alreported 692 cases of laparoscopic myomectomy and removal of specimens through the posterior fornix incision of the vagina, it is currently the article that reports the largest number of cases included in the removal of myomas through the posterior fornix,in this artical, within 30 days from surgery, they did not observe infections at the level of colpotomy or pelvic abscesses, which are the most concerning around the use of transvaginal extraction for specimen retrieval.However, the maximum diameter of myomectomy in the article is 6.64 ± 2.2 cm, and there is a lack of standardized prospective functional questionnaire survey, long-term follow-up and vaginal delivery [15] .…”

Transvaginal contained tissue extraction after laparoscopic myomectomy: a cohort study

“…We carried out a literature search of published, peer‐reviewed literature to identify clinical studies that assessed the outcomes of the transvaginal extraction of fibroids after laparoscopic myomectomy. ‘Laparoscopic myomectomy’, ‘retrieval’, ‘transvaginal’, ‘specimen’, ‘myoma’, ‘fibroid’, alone or in combination, were used as keywords to search MEDLINE (Table ) . Our series represents the largest reported pool of patients undergoing transvaginal contained extraction of surgical specimens at laparoscopic myomectomy to date.…”

Miomectomía por laparoscopia

“…La reparación del lecho cruento la hacemos con puntos separados, en ocho, por capas; usamos poliglactina '0' o '1' para las capas internas, y 2-0 o 3-0, con puntos simples separados, para la serosa uterina (Figura 3). Si tenemos múltiples fibromas, introducimos una sutura de hilo o seda y los vamos ensartando, para formar una cadena, la que es luego removida por fondo de saco posterior (28) .…”