Department of Obstetrics & Gynecology, University Magna Graecia, Catanzaro, Italy.
Fertil Steril. 2010 Aug;94(3):1090-6. doi: 10.1016/j.fertnstert.2009.04.030. Epub 2009 May 29.
To assess feasibility and safety of a new surgical instrument-Laparotenser-in the procedure of gasless laparoscopic myomectomy.
Multicenter controlled study.
Academic departments of obstetrics and gynecology, Italy.
PATIENT(S): Thirty patients scheduled for gasless laparoscopic myomectomy (experimental group) and another group of 30 patients from our historical records that have undergone traditional laparoscopic myomectomy, matched with the cases for number of fibroids and for size of the main fibroid (control group).
INTERVENTION(S): Gasless laparoscopic myomectomy using Laparotenser.
MAIN OUTCOME MEASURE(S): Surgical data.
RESULT(S): No significant differences in total operative time, postoperative ileus, hospitalization, time to return to full activity/work, and complication rates were observed between groups. Intraoperative blood loss, hemoglobin level, and surgical difficulty were significantly higher in the experimental than in the control group. Postoperative pain and number of analgesic vials used were significantly lower in the experimental group than in the control group.
CONCLUSION(S): Although performed during the learning curve period, the use of the Laparotenser instrument in gasless laparoscopic myomectomy is a safe procedure.
评估新型手术器械腹腔镜牵开器在非气腹腹腔镜子宫肌瘤剔除术中的可行性和安全性。
多中心对照研究。
意大利妇产科学术部门。
30 名计划行非气腹腹腔镜子宫肌瘤剔除术的患者（实验组），以及根据肌瘤数量和主肌瘤大小与实验组相匹配的我们的历史记录中 30 名接受传统腹腔镜子宫肌瘤剔除术的患者（对照组）。
使用腹腔镜牵开器行非气腹腹腔镜子宫肌瘤剔除术。
手术数据。
实验组和对照组在总手术时间、术后肠梗阻、住院时间、恢复正常活动/工作时间以及并发症发生率方面无显著差异。实验组术中出血量、血红蛋白水平和手术难度明显高于对照组。实验组术后疼痛和使用镇痛瓶数量明显低于对照组。
尽管是在学习曲线期间使用，但腹腔镜牵开器在非气腹腹腔镜子宫肌瘤剔除术中是一种安全的手术方法。
Zotero 插件