Laparoscopic myomectomy: clinical outcomes and comparative evidence

J Minim Invasive Gynecol. 2015 Jan;22(1):11-25. doi: 10.1016/j.jmig.2014.08.007. Epub 2014 Aug 10.

Abstract

Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence, risk of uterine rupture in future pregnancies, and potential dissemination of cells with use of morcellation. This review outlines techniques for performance of laparoscopic myomectomy and critically appraises the available evidence for operative data, short-term and long-term complications, and reproductive outcomes.

Keywords: Complications of myomectomy; Laparoscopic myomectomy; Myomectomy.

Publication types

  • Review

MeSH terms

  • Comparative Effectiveness Research
  • Female
  • Humans
  • Laparoscopy / methods
  • Leiomyoma* / pathology
  • Leiomyoma* / surgery
  • Neoplasm Recurrence, Local / surgery
  • Outcome Assessment, Health Care
  • Postoperative Complications* / etiology
  • Postoperative Complications* / prevention & control
  • Uterine Myomectomy* / adverse effects
  • Uterine Myomectomy* / methods
  • Uterine Neoplasms* / pathology
  • Uterine Neoplasms* / surgery