Księżakowska-Łakoma Kinga, Żyła Monika, Wilczyński Jacek
Department of Gynecology, Chair of Obstetrics and Gynecological Surgery, Medical University of Lodz, Lodz, Poland.
Department of Gynecology, Polish Mother's Memorial Hospital - Research Institute, Lodz, Poland.
Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):561-6. doi: 10.5114/wiitm.2015.56998. Epub 2015 Jan 12.
The minilaparotomy is considered to be a safe and effective alternative to laparoscopy and abdominal laparotomy in myomectomy cases.
To perform a retrospective analysis of pre-surgical assessment, surgical course and post-operational parameters in women wishing to preserve their uterus and fertility who underwent myomectomy by minilaparotomy in the Department of Gynecology and Gynecological Oncology at the Polish Mother's Memorial Hospital - Research Institute in Lodz in the years 2008-2014.
A total of 76 patients were qualified for minilaparotomy due to a benign gynecological pathology. Only 21 patients with uterine fibroids who wanted to preserve their uterus and fertility were appropriate for this study. Patients' records were analyzed in terms of: epidemiological history, surgical course, postoperative stay and pathological data. All studied patients were asked in 2014 about conception and pregnancy after minilaparotomy.
The median age was 35.7 years. The median patient body mass index (BMI) was 24 kg/m(2). The average decrease of hemoglobin was 1.5 g/dl. The size of the myoma was between 1.5 and 15 cm. There were no serious post-surgical complications. The size of the myoma did not correlate significantly with operation time, BMI or blood loss. There was no statistically significant dependence between operation time and average hematocrit and hemoglobin decrease. In our group 7 patients who had undergone myomectomy tried to achieve conception. Four of them succeeded in pregnancy and gave birth to healthy infants.
Myomectomy performed via minilaparotomy is a safe procedure for patients willing to preserve their uterus and fertility, and it combines some advantages of both laparotomy and laparoscopy.
在子宫肌瘤切除病例中，迷你剖腹术被认为是腹腔镜检查和腹部剖腹术的一种安全有效的替代方法。
对2008年至2014年期间在罗兹市波兰母亲纪念医院-研究所妇产科和妇科肿瘤学部接受迷你剖腹术子宫肌瘤切除的希望保留子宫和生育能力的女性患者的术前评估、手术过程和术后参数进行回顾性分析。
共有76例因良性妇科疾病符合迷你剖腹术条件。只有21例希望保留子宫和生育能力的子宫肌瘤患者适合本研究。对患者记录进行了以下方面的分析：流行病学病史、手术过程、术后住院时间和病理数据。2014年询问了所有研究患者迷你剖腹术后的受孕和妊娠情况。
中位年龄为35.7岁。患者中位体重指数（BMI）为24kg/m²。血红蛋白平均下降1.5g/dl。肌瘤大小在1.5至15cm之间。无严重术后并发症。肌瘤大小与手术时间、BMI或失血量无显著相关性。手术时间与平均血细胞比容及血红蛋白下降之间无统计学显著相关性。我们组中有7例接受子宫肌瘤切除的患者尝试受孕。其中4例成功妊娠并生下健康婴儿。
对于希望保留子宫和生育能力的患者，通过迷你剖腹术进行子宫肌瘤切除是一种安全的手术，它兼具剖腹术和腹腔镜检查的一些优点。
