Laparoscopically assisted myomectomy versus abdominal myomectomy in short-term outcomes: a prospective study

Leiomyomas are the most common pelvic tumors in women. These tumors are not always symptomatic but can cause abnormal uterine bleeding and anemia, pelvic pressure and pain, urinary frequency, and adverse reproductive outcomes-symptoms that can diminish the quality of life of women. Myomectomy is the primary treatment modality for women with symptomatic leiomyomas who are of reproductive age and desire future fertility. Myomectomy can significantly improve symptoms and quality of life and, in some clinical situations, improve reproductive outcomes. There are robust surgical outcome data supporting the use of a minimally invasive approach such as laparoscopy and hysteroscopy over laparotomy. Perioperative outcomes and return to normal activity are significantly better with a minimally invasive approach. Reproductive outcomes are not adversely affected. Detailed preoperative imaging is required for minimally invasive procedures to be successful. There are several evidence-based techniques that can be used to reduce blood loss during surgery. The role of robotic technology in enhancing surgical outcomes has not been clearly defined.

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“…A prospective study has shown this approach to have perioperative advantages over traditional laparotomy. 58 …”

Section: Surgical Technique For Laparoscopic Myomectomymentioning

confidence: 97%

Surgical Management of Leiomyomas for Fertility or Uterine Preservation

Falcone

Parker

2013

Obstetrics &Amp; Gynecology

114

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“…Moreover, it is undoubtedly that some surgical times of the laparoscopic approach may make it easier to perform abdominal surgical interventions otherwise more complex and invasive [16].…”

Section: Discussionmentioning

confidence: 99%

Successful pregnancy following myomectomy of a giant uterine myoma: role of a combined surgical approach

Macciò

Madeddu

Caffiero

et al. 2011

Arch Gynecol Obstet

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In the case reported here, the careful pre-surgical evaluation, the technical expertise and skill of the surgeon, the choice of a combined approach with laparoscopy and open surgery and the use of modern surgical instruments have enabled us to achieve a significant result: the preservation of the anatomical integrity of the uterus and adnexa which allowed a successful natural pregnancy with spontaneous delivery.

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“…Traversing the endometrial lining during myomectomy is thought to increase the risk of uterine rupture during pregnancy or delivery [21,22]. In adult women with amenable uterine leiomyomata (eg, isolated tumors with partial involvement of the myometrium), myomectomy can be performed laparoscopically with or without robotic assistance [23,24]. However, given the extent of this patient's uterine leiomyoma, which based on preoperative imaging appeared to consume the entire width of the myometrium, laparoscopic or robotic myomectomy was not considered a surgical option.…”

Section: Discussionmentioning

confidence: 99%

Uterine leiomyoma causing menometrorrhagia with a concomitant mature teratoma in a 15-year-old child: a case report and review of the literature

Naiditch

Milad

Rowell

2011

Journal of Pediatric Surgery

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Laparoscopically assisted myomectomy versus abdominal myomectomy in short-term outcomes: a prospective study

Abstract: In selected group of patients, LAM as minimally invasive approach is an attractive alternative to conventional laparotomic myomectomy, offering significant advantages.

Cited by 36 publications

References 27 publications

Surgical Management of Leiomyomas for Fertility or Uterine Preservation

Surgical Management of Leiomyomas for Fertility or Uterine Preservation

Successful pregnancy following myomectomy of a giant uterine myoma: role of a combined surgical approach

Uterine leiomyoma causing menometrorrhagia with a concomitant mature teratoma in a 15-year-old child: a case report and review of the literature

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