New Methods of Pelviscopy (Gynecologic Laparoscopy) for Myomectomy, Ovariectomy, Tubectomy and Adnectomy

Semm, K

doi:10.1055/s-0028-1098329

Cited by 178 publications

(71 citation statements)

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“…Laparoscopic myomectomy was first reported in 1979. 9 This technique has been performed safely and has consistently demonstrated advantages, such as decreased blood loss, shorter hospital stay, less postoperative disability, and comparable complications compared to abdominal myomectomy. 10 -17 Clinical outcomes for fertility and obstetrical outcomes are also comparable to abdominal myomectomy.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Gobern

Barter

Steren

2011

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Gobern

Barter

Steren

2011

Journal of Minimally Invasive Gynecology

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“…Cerrahi tedavi seçenekleri semptomlarla ilişkili olarak, endometriyal ablasyon, abdominal, laparoskopik, vajinal myomektomi veya histerektomiyi içerir. Fertilite ve organ koruyucu tedavi modalitelerinden biri olan laparoskopik myomektomi ilk kez 1979'da rapor edilmiştir (7). Otuz yılı aşkın bir süredir…”

Section: Discussionunclassified

Abdominal ve Laparoskopik Myomektomilerin Postoperatif Komplikasyonlar ve Fertilite Açısından Değerlendirilmesi

Özel¹,

Ates²,

Şevket³

et al. 2015

Kocatepe Tıp Dergisi

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Bu çalışmanın amacı myoma uteri nedeniyle uygulanan abdominal veya laparoskopik myomektomi yönteminin postoperatif komplikasyon ve ameliyat sonrası fertilite üzerine etkisinin karşılaştırılmasıdır. Gereç veYöntem: 2003-2007 yılları arasında Süleymaniye Kadın Hastalıkları ve Doğum Hastanesi'nde myomektomi yapılmış toplam 221 hastanın dosyası rektospektif olarak incelendi. Hastalar uygulanan cerrahi yönteme göre 2 gruba ayrıldı. 136 hastaya abdominal myomektomi, 85 hastaya laparoskopik myomektomi uygulanmış olup gruplar birbiriyle karşılaştırıldı.Bulgular: Gruplar arasında yaş, sigara içimi, geçirilmiş batın operasyonu ve geçirilmiş pelvik enfeksiyon öyküsü, postoperatif kan transfüzyon ihtiyacı ve ileus görülme bakımından anlamlı farklılık yoktu (p>0.05). Ortalama parite sayısı, laparoskopik myomektomi grubunda anlamlı olarak fazla idi (p =0.018). Abdominal myomektomi grubunda çıkarılan myom sayısının 4'ten fazla olması (p<0.01) ve myom büyüklüğünün 6 cm'den büyük olması (p<0.001) laparoskopik myomektomi grubuna göre anlamlı olarak fazla saptandı. Abdominal myomektomi grubunda operasyon süresi ve ortalama hastanede kalış süresi, laparoskopik myomektomi grubuna göre fazla (p <0.001), postoperatif hemotokrit değerleri laparoskopik myomektomi gruba göre düşük olarak saptandı (p<0.017). Laparoskopik myomektomi olgularında postoperatif toplam gebe kalma oranı ve yardımcı üreme tekniği ile gebe kalma oranı abdominal myomektomi grubuna göre yüksek bulundu ( p<0,001).Sonuç: Laparoskopik yöntem abdominal yönteme göre daha az operasyon süresi, hastanede daha az kalış süresi, ameliyatta daha az kanama, ameliyat sonrası daha yüksek oranda gebelik gibi avantajlara sahipken, her iki grup ameliyat sırasında ve sonrasında oluşan komplikasyonlar açısından fark göstermemiştir.

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“…Laparoscopic myomectomy was first introduced by Semm in 1979 for subserous myomas. 16 In the beginning of the 1990s, the procedure began to be performed in intramural myomas. Now it is one of the most common surgical procedures in infertile patients.…”

Section: Figmentioning

confidence: 99%

Patients’ Age, Myoma Size, Myoma Location, and Interval Between Myomectomy and Pregnancy May Influence the Pregnancy Rate and Live Birth Rate After Myomectomy

Zhang

Hua

2014

Journal of Minimally Invasive Gynecology

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Objective: To investigate which clinical characteristics will influence the pregnancy rate and live birth rate after myomectomy. Subjects and Methods: Data of clinical characteristics and reproductive outcome from 471 patients who wished to conceive and who underwent abdominal or laparoscopic myomectomy in the Obstetrics and Gynecology Hospital of Fudan University from January 2008 to June 2012 were retrospectively analyzed. Results: Average age in the pregnancy group (30.0 -3.7 years) and the nonpregnancy group (31.2 -4.1 years) was statistically different (P = .000). The diameter of the biggest myoma had a positive relationship with the pregnancy rate when it was < 10 cm (r s = 0.095, P = .039). Abortions before myomectomy, operation type, number, location, and classification of myomas, uterine cavity penetration, and uterine volume seemed not to influence the pregnancy rate (P > .05). The location of the myoma may influence the live birth rate after myomectomy (r s = 0.198, P = .002). Anterior and posterior myomas were associated with higher live birth rates than other locations (P = .001). The average interval between myomectomy and pregnancy was 16.0 -8.7 months, and there was no difference between the abdominal (17.2 -8.6 months) and laparoscopic (15.2 -8.8 months) groups (P = .102). The interval in the live birth group was 15.0 -8.4 months, and that in the non-live birth group was 18.9 -9.3 months; the difference was significant (P = .005). Conclusions: Patients' age, myoma size and location, and interval between myomectomy and pregnancy may influence the pregnancy rate and live birth rate after myomectomy.

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New Methods of Pelviscopy (Gynecologic Laparoscopy) for Myomectomy, Ovariectomy, Tubectomy and Adnectomy

Cited by 178 publications

References 1 publication

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital

Abdominal ve Laparoskopik Myomektomilerin Postoperatif Komplikasyonlar ve Fertilite Açısından Değerlendirilmesi

Patients’ Age, Myoma Size, Myoma Location, and Interval Between Myomectomy and Pregnancy May Influence the Pregnancy Rate and Live Birth Rate After Myomectomy

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