The Laparoscopic Myomectomy: A Survey of Canadian Gynaecologists

Liu, Grace; Zolis, Lynne; Kung, Rose; Melchior, Mary; Singh, Sukhbir S.; Cook, E. Francis

doi:10.1016/s1701-2163(16)34428-0

Cited by 36 publications

(16 citation statements)

References 47 publications

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“…In 2007 Kolkman et al [8] gynecologists performed laparoscopic myomectomy. Of the respondents 70.7% felt that lack of training was the main barrier to perform complex laparoscopic procedures [11]. Another recent Canadian study [9] revealed that Canadian residents in obstetrics and gynecology are not receiving adequate training to feel comfortable using the laparoscopic approach as opposed to the vaginal and abdominal routes.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy in the public health system in Ecuador: an evaluation of the status quo and the education in minimally invasive surgery

Krentel

Ruiz²

2011

Gynecol Surg

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The following study describes the use of laparoscopic surgery in the public hospitals of the Ecuadorian ministry of public health in Quito, Ecuador in the year 2008. The aim of the present study was the description of the recent situation of laparoscopic surgery in the public sector of the Ecuadorian capital, the level of training and education of laparoscopists, and the determination of missing factors in the educational programs in minimally invasive surgery in Ecuador. We analyzed the use of laparoscopic approach in correlation to the specialty and the diagnosis. The results revealed that in many diagnoses, the standard surgical approach still is the laparotomy. The discrepancy between general surgery, gynecology, and urology in the use of minimally invasive surgery in the public health system shows the different educational levels and the need of training programs at university level and in the hospitals especially in gynecology.

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Section: Discussionmentioning

confidence: 99%

Laparoscopy in the public health system in Ecuador: an evaluation of the status quo and the education in minimally invasive surgery

Krentel

Ruiz²

2011

Gynecol Surg

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“…Despite evidence supporting the safety, feasibility, and improved outcomes following the minimally invasive approach to myomectomy, the majority of cases in the United States are performed by laparotomy (Liu et al 2010 ). This may be due to the fact that majority of benign procedures are performed by community surgeons presented with unique challenges of mastering the minimally invasive techniques, including inconsistent training across generations and programs, dependency on various nonstandardized review courses to initiate learning, "on the job" training to attain competency, and perceived long learning curves needed to become profi cient (Payne and Pitter 2011 ;Lenihan et al 2008 ).…”

Section: Tips and Techniquesmentioning

confidence: 99%

Minimally Invasive Gynecological Surgery

Istre¹

2015

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“…Laparoscopic myomectomy is an advanced laparoscopic skill that requires the ability to suture effectively and efficiently [5] [6]. The benefits of the laparoscopic approach are well known and have been found superior to laparotomic myomectomy in terms of less blood loss, diminished postoperative pain, fewer overall complications and faster recovery [1].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde

Cyrille¹,

Etienne²,

Festus³

et al. 2019

OJOG

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Introduction: Fibroid benign tumour of the uterus can be operated either by laparotomy or laparoscopy. Laparoscopy is not well vulgarised in our settings. Objective: The main objective was to compare the surgical and post-operative outcomes of laparoscopic versus abdominal myomectomy. Methods: We performed a comparative analytical cross sectional study from 1st January 2016 to 31st March 2018 consisted of two groups: group 1 of women who underwent laparoscopic myomectomy (LM) and group 2 of women who underwent abdominal myomectomy (AM). The data collected was entered in Epi Info 7.2 version and exported to IBM SPSS Statistics version 22 for analysis. We used alpha error margin of 5% and confidence interval of 95%. Results: We enrolled 50 cases of myomectomy consisted of 33 (66.0%) files for AM and 17 (34.0%) files for LM. The clinical presentation of fibroid was similar in both groups. The main operation time (H) was (1.27 ± 0.13) for laparoscopy which is much less than (2.05 ± 0.07) for laparotomy group (p = 0.006). In AM group we had 04 post-operatory complications against zero complications in LM group but the difference was not statistically significant (p = 0.387). In the second look laparoscopy, the types of adhesions were not statistically significant (p = 0.471). Conclusion: Laparoscopic offers advantages compared to abdominal myomectomy.

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The Laparoscopic Myomectomy: A Survey of Canadian Gynaecologists

Cited by 36 publications

References 47 publications

Laparoscopy in the public health system in Ecuador: an evaluation of the status quo and the education in minimally invasive surgery

Laparoscopy in the public health system in Ecuador: an evaluation of the status quo and the education in minimally invasive surgery

Minimally Invasive Gynecological Surgery

Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde

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