Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy

Kuo-Chang Wen; Yi-Jen Chen; Pi-Lin Sung; Peng-Hui Wang

doi:10.1016/j.ajog.2009.10.872

Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy

Am J Obstet Gynecol. 2010 Feb;202(2):144.e1-8. doi: 10.1016/j.ajog.2009.10.872. Epub 2009 Dec 24.

Authors

Kuo-Chang Wen¹, Yi-Jen Chen, Pi-Lin Sung, Peng-Hui Wang

Affiliation

¹ Department of Obstetrics and Gynecology, Institute of Clinical Medicine, National Yang-Ming University School of Medicine, National Yang-Ming University Hospital, Ilan, Taiwan.

PMID: 20035917
DOI: 10.1016/j.ajog.2009.10.872

Abstract

Objective: We sought to compare myomectomy performed by laparotomy (LT), and 2 other modified approaches: ultraminilaparotomy (UMLT) and laparoscopically assisted UMLT for uterine fibroids with a size <8 cm and the number <5.

Study design: A cohort study, including 79 (35.3%) women in the LT group, 71 (31.7%) in the UMLT group, and 74 (33.0%) in the laparoscopically assisted UMLT group, was conducted. The outcome was measured by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes.

Results: The median follow-up was 52 months with similar recurrence rates in the 3 groups. The modified approaches had advantages not only in the surgical parameters, but also in postoperative recovery, compared to LT (all P < .05).

Conclusion: UMLT and laparoscopically assisted UMLT can be used successfully in place of LT in the management of uterine fibroids.

Publication types

Comparative Study
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Cohort Studies
Female
Humans
Laparoscopy / methods*
Laparotomy / methods*
Leiomyoma / surgery*
Middle Aged
Neoplasm Recurrence, Local / epidemiology
Uterine Neoplasms / surgery*