Uterine artery ligation via the laparoscope prior to myomectomy

Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy: which is the optimal surgical approach?

“…To treat symptomatic uterine myoma, a combination of LUVO and myomectomy through either laparoscopy or laparotomy has been reported to provide satisfactory results (22,(33)(34)(35)(36). However, observational studies comparing the therapeutic outcome between laparoscopic myomectomy and laparotomy myomectomy simultaneously and subsequently after LUVO are lacking.…”

“…Since that time there has been rapid growth in the use of this treatment with various modifications, such as simultaneous accompaniment with myomectomy either through laparoscopy or MLT, and there has been considerable research into its outcome (22,(34)(35)(36)(37)(38)(39)(40)(41)(42). However, in our previous data we found that a combination of LUVO and myomectomy provided definite effectiveness in symptom control for these women with symptomatic uterine myomas (98.1%-100% symptom resolution depending on various kinds of evaluation variables), minimized tumor recurrence, and rendered the majority of reinterventions unnecessary (22).…”

A prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultraminilaparotomy

“…In addition, laparoscopic myomectomy was claimed to have decreased the risks of postoperative adhesions compared with abdominal myomectomy, which is a considerable advantage in infertile patients (4). Many other alternative surgical techniques (5), such as laparoscopically assisted myomectomy (6), laparoscopic ultraminilaparotomic embolized myomectomy (7), laparoscopically assisted transvaginal myomectomy and hand-assisted laparoscopy (8), the morcellation technique (9), and isobaric (gasless) laparoscopy (10), have recently been introduced for the management of uterine myomas, and these modified procedures also have been performed in our hospital.…”

Comparison of ultraminilaparotomy for myomectomy through midline vertical incision or modified Pfannenstiel incision—a prospective short-term follow-up

“…However, psychologically, the uterus has been regarded as the regulator and controller of important physiologic functions, a sexual organ, a source of energy and vitality, and a maintainer of youth and attractiveness (6), leading to the more popular and frequent use of myomectomy rather than hysterectomy to treat uterine myoma (7), because it also successfully relieves the symptoms and maintains the reproductive potential (8). There are many different approaches to performing the myomectomy, including exploratory laparotomy, which varies from conventional laparotomy to minilaparotomy (MLT) and ultraminilaparotomy (UMLT), laparoscopy, hysteroscopy, and the vaginal approach (9)(10)(11)(12)(13), and all of which have been performed in our hospital.…”