Laparoscopically assisted myomectomy versus abdominal myomectomy in short-term outcomes: a prospective study
| Autor: | Panayotis Xiromeritis, Ioannis Kalogiannidis, Nikos Prapas, Yannis Prapas |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Uterine fibroids medicine.medical_treatment Treatment outcome Maximum diameter Laparotomy medicine Humans Prospective Studies Laparoscopy Prospective cohort study medicine.diagnostic_test Leiomyoma business.industry Obstetrics and Gynecology General Medicine medicine.disease female genital diseases and pregnancy complications Surgery Treatment Outcome Uterine Neoplasms Female business |
| Zdroj: | Archives of gynecology and obstetrics. 281(5) |
| ISSN: | 1432-0711 |
| Popis: | Comparison between laparoscopically assisted myomectomy (LAM) and abdominal myomectomy (laparotomy), used in the management of women with intramural or subserous uterine fibroids up to 90 mm of maximum diameter.Seventy-five premenopausal women were prospectively enrolled in the study, managed by LAM (n=48) or by laparotomy (n=27) approach. The short-term outcomes were compared between the two groups. The patient characteristics were also analyzed.The mean (+/-SD) estimated blood loss was significantly less in the LAM procedure compared with laparotomy (246+/-161 vs. 351+/-219 ml, respectively, P=0.03). Similarly, the operative time was shorter in the LAM modality compared with laparotomy (68+/-21 vs. 83+/-24 min, respectively, P=0.01). Intraoperative and postoperative complications were not different between the two groups. The mean days of the bowel reactivity (1.04+/-0.2) was faster (P0.0001), while the duration of hospitalization (1.2+/-0.6) was shorter (P0.0001) in the LAM technique, when compared with abdominal myomectomy (1.8+/-0.5 and 4.2+/-0.8, respectively).In selected group of patients, LAM as minimally invasive approach is an attractive alternative to conventional laparotomic myomectomy, offering significant advantages. |
| Databáze: | OpenAIRE |
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