Myomectomy by laparoscopy: a preliminary report of 43 cases.
作者信息
Dubuisson J B, Lecuru F, Foulot H, Mandelbrot L, Aubriot F X, Mouly M
机构信息
Service de Gynécologie-obstétrique, Clinique Universitaire Port-Royal, Paris, France.
出版信息
Fertil Steril. 1991 Nov;56(5):827-30. doi: 10.1016/s0015-0282(16)54650-0.
OBJECTIVE
To evaluate the technique and short-term results of intraperitoneal (IP) myomectomies.
DESIGN
From January 1, 1990, to March 1, 1991, IP myomectomies were performed in all cases in which it appeared feasible.
SETTING
This study was conducted in a tertiary care center, the Port-Royal University Hospital.
PATIENTS, PARTICIPANTS: Among 49 consecutive patients with interstitial or subserous myomas, 6 patients with voluminous, multiple myomas had laparotomies. Intraperitoneal myomectomy was performed in 43 patients. The indication for laparoscopy was a pelvic mass in 29 cases, infertility in 13, and severe endometriosis in 1 case.
INTERVENTIONS
Thermocoagulation or monopolar coagulation was used for the uterine incision. Myometrium and serosa were sutured in 23 of 43 patients. Myomas were removed through the suprapubic puncture site after fragmentation of large myomas.
MAIN OUTCOME MEASURE(S): We evaluated the length of the procedures, blood loss, and postoperative course.
RESULTS
Ninety-two myomas were removed laparoscopically. No complication was observed.
CONCLUSIONS
In selected cases, IP myomectomy appears to be a safe technique with the advantages of laparoscopic surgery.
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