Laparoscopic Myomectomy: Does it have any Advantages over Conventional Laparotomy?

Mwakirungu, Cromwell Hm; Mishra, RK

doi:10.5005/jp-journals-10007-1023

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…Selected papers were screened for further references. Criteria for selection of literature were the number of cases (excluded if less than 20), methods of analysis (statistical or non-statistical), operative procedure (only universally accepted procedures were selected), and the institution where the study was done (specialized institutions for laparoscopic surgery) [ 23 ]. Out of a total of 30 articles, only six met the selection criteria.…”

Section: Discussionmentioning

confidence: 99%

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Mettler¹,

Schollmeyer²,

Tinelli³

et al. 2012

Obstetrics and Gynecology International

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A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from dysuria and constipation to chronic bladder and bowel spasms. Very seldom does peritonitis occur. Infertility may result from continuous metro and menorrhagia. The difficulty of the laparoscopic and hysteroscopic myomectomy lies in achieving satisfactory haemostasis using the appropriate sutures. The hysteroscopic myomectomy requires an operative hysteroscope and a well-experienced gynaecologic surgeon.

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Section: Discussionmentioning

confidence: 99%