Five-year lapsed: Review of laparoscopic myomectomy versus open myomectomy in Putrajaya Hospital

D'Silva, Emily Christine; Muda, Aisyah Munirah; Safiee, Anis Iryani; Ghazali, Wan Ahmad Hazim Wan

doi:10.4103/gmit.gmit_38_18

Cited by 22 publications

(13 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We acknowledge the differences between open and laparoscopic approaches for myomectomy [ 24 , 25 ], yet it is standard practice in our institute to perform myomectomy through the open approach for cases with our inclusion criteria.…”

Section: Discussionmentioning

confidence: 99%

Blood loss from transverse versus longitudinal uterine incision in abdominal myomectomy: a randomized controlled trial

et al. 2020

View full text Add to dashboard Cite

Background It is unclear whether transverse uterine incision is non-inferior to longitudinal incision during myomectomy with regard to bleeding. Our aim was to compare between transverse and longitudinal uterine incisions in myomectomy. Methods A parallel randomized controlled single-blinded study in a university affiliated hospital, in the period between January 2017 and April 2018, in which 52 women candidates for abdominal myomectomy were randomized into transverse uterine incision or longitudinal uterine incision groups (26 in each group). Intraoperative blood loss (estimated directly by blood volume in suction bottle and linen towels and indirectly by difference between preoperative and postoperative hematocrit), operative time and postoperative fever were analyzed. Results No statistically significant difference was found between transverse and longitudinal incisions regarding intraoperative blood loss (389.7 ± 98.56 ml vs 485.04 ± 230.6 ml respectively, p value = 0.07), operative time (59.96 ± 16.78 min vs 66.58 ± 17.33 min respectively, p value = 0.18), and postoperative fever (4% vs 8.33%, p value = 0.6). Conclusion Transverse uterine incision does not cause more blood loss than longitudinal incision and is a reasonable option during abdominal myomectomy. Trial registration: NCT03009812 at clinicaltrials.gov, registered January 2017

show abstract

Section: Discussionmentioning

confidence: 99%

Blood loss from transverse versus longitudinal uterine incision in abdominal myomectomy: a randomized controlled trial

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Gynecologists need to improve their laparoscopic skills. Laparoscopic Myomectomy was associated with rapid recovery less blood and minimal postoperative pain, and fewer overall complications, but longer operating times, when compared with open myomectomy for patients with fibroids [12].…”

Section: Myomectomymentioning

confidence: 94%

Different Surgical Techniques for Management of Leiomyoma

Abduljabbar¹,

Agabawi²

2020

Leiomyoma

View full text Add to dashboard Cite

The objective is to review the methods of treatment for all cases diagnosed as leiomyoma at Tertiary Teaching Hospital. This is a retrospective study on the medical files of all cases diagnosed as leiomyoma at King Abdulaziz University Hospital. It is a teaching hospital with a capacity of 800 beds in total and 180 beds in the Department of Obstetrics and Gynecology. The study was approved by ethical hospital committee to be performed from July 2016 till September 2018. The total number of admitted cases of Leiomyoma, with a clinical diagnosis and confirmed postoperatively with a histological pathology, were 385. About 244 of Leiomyoma were managed with hysterectomy (63.4%). Open myomectomy was the method of choice to treat 141 cases, which contribute to (36.4%), a different technique used, Hysteroscopic, laparoscopic or open depending on the age of the patients, location, type of leiomyoma and fertility preservation. A number of cases treated with open surgery were 70 out of 141 (49.6%) and laparoscopic myomectomy were 51 out of 141 (36.2%); only 20 cases had hysteroscopic resection of myoma (14.2%). Although hysterectomy is not an acceptable method of treatment for leiomyoma by many patients, still it is the most common surgical method for the treatment of leiomyoma.

show abstract

“…In cases of infertility or severe and persistent anemia or intolerable symptoms, surgery is considered. [1][2][3] Based on the current evidence, an abdominal myomectomy is a classic and safe surgical method. However, intraoperative bleeding could be a life-threatening complication that is associated with poor hemostasis, trauma to feeding vessels, improper suturing due to inexperience of the surgeon, and also feature of fibroids.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of lidocaine plus epinephrine on intraoperative bleeding in abdominal myomectomy: A double‐blind clinical trial

Mansour‐Ghanaei

Hosseinzadeh

Sharami

et al. 2022

Health Science Reports

View full text Add to dashboard Cite

Background Uterine fibroid is a common benign pelvic tumor and abdominal myomectomy may cause excessive intraoperative bleeding, which may lead to adverse outcomes. Objective This study was planned to evaluate the effectiveness of the injection of lidocaine plus epinephrine to reduce intraoperative bleeding in abdominal myomectomy. Methods During October 2019 and May 2020, 60 eligible women with uterine fibroids were enrolled in a randomized controlled trial. Our patients were divided into two groups of lidocaine plus epinephrine defined as Group L and placebo defined as Group P. In group L, lidocaine 3 mg/kg plus 0.5 ml of adrenaline which reached to 50 cc with saline solution and in group P, 50 ml of normal saline was used. Both the combined solution and normal saline were infiltrated to the serous and myometrium above and around the fibroid before incision. Patients' demographic data, total operative time, hemoglobin changes, and the degree of surgical difficulty were evaluated and compared between the two groups. Results There was no significant difference between the two groups in terms of demographic data. Hemoglobin changes ( p 0.0001) and the degree of surgery difficulty ( p = 0.01) were significantly lower in Group L compared with Group P. In each group the drop in hemoglobin levels from baseline to 4 h postoperatively was significant ( p 0.0001). A significantly meaningful correlation was reported between hemoglobin changes and the degree of surgery difficulty with the size of the uterine and fibroids ( p < 0.05). While a negative correlation was found regarding gravidity and surgery difficulty ( r = −0.413, p = 0.02). Surgery duration was longer in Group P compared with Group L 70.66 ± 19.85 versus 66.16 ± 14.48, respectively, but with no significant difference ( p = 0.32). No significant adverse reaction or serious complication was reported in the two groups. Hemodynamic parameters were kept in the normal range throughout the surgery. Conclusion A combination of lidocaine plus epinephrine during abdominal myomectomy appears to be a safe and effective method in reducing blood loss.

show abstract

Five-year lapsed: Review of laparoscopic myomectomy versus open myomectomy in Putrajaya Hospital

Cited by 22 publications

References 15 publications

Blood loss from transverse versus longitudinal uterine incision in abdominal myomectomy: a randomized controlled trial

Blood loss from transverse versus longitudinal uterine incision in abdominal myomectomy: a randomized controlled trial

Different Surgical Techniques for Management of Leiomyoma

Safety and efficacy of lidocaine plus epinephrine on intraoperative bleeding in abdominal myomectomy: A double‐blind clinical trial

Contact Info

Product

Resources

About