| Autor: |
Maneschi, F., Ceccacci, I., Vestri, Anna Rita, Pane, C., Simeone, A., Perugini, A. |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Minerva ginecologica. 63(3) |
| ISSN: |
0026-4784 |
| Popis: |
The aim of this paper was to evaluate the feasibility, morbidity, and reproductive performance of fertile women undergoing minilaparotomic myomectomy for large uterine myomas.Ninety-nine consecutive women with symptomatic myomas underwent myomectomy through a skin incision ≤8 cm. Operative, postoperative and reproductive data were prospectively collected.Median (range) age and Body Mass Index (BMI) were 37 years (23-44) and 23 (18-43), respectively. Median (range) myoma diameter was 7 cm (4-20), and the median number of myomas removed was 1 (range 1-31). Myomas were intramural in 76 (76%) cases. Median incision length was 7 cm (range 4-13) and median duration of surgery was 70 min (range 40-180). Operative time and length of skin incision were not correlated with the progressive number of interventions. An incision larger than 8 cm was necessary in 7 (7%) patients and the length of incision was significantly correlated with the diameter of the largest myoma (P0.01). The feasibility of minilaparotomy was significantly reduced when the diameter of the largest myoma was12 cm (P0.05). Operative time was significantly longer in patients having1 myoma (P0.05). Three (3%) patients underwent blood transfusion. Median (range) postoperative stay was 2 days (range 2-12). Fever occurred in 8 (8%) patients, and wound complications in 5 (5%).Myomectomy by minilaparotomy is a feasible procedure in more than 90% of unselected patients with large symptomatic myomas. Feasibility is questionable when the myoma is12 cm. This technique is a mini-invasive option to treat patients with large and multiple myomas. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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