Department of Gynecological Surgery, CHU Estaing, Clermont-Ferrand, France (Drs. Fava, Gremeau, Pouly, Chauvet, Botchorishvili, and Bourdel); Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy (Dr. Fava).
Department of Gynecological Surgery, CHU Estaing, Clermont-Ferrand, France (Drs. Fava, Gremeau, Pouly, Chauvet, Botchorishvili, and Bourdel).
J Minim Invasive Gynecol. 2019 Sep-Oct;26(6):1009-1010. doi: 10.1016/j.jmig.2018.12.021. Epub 2019 Jan 11.
Laparoscopic myomectomy has the advantages of a minimally invasive approach for the surgical treatment of myomas. The standardization and description of the technique are the main objectives of this video. We described laparoscopic myomectomy in 10 steps, which could help make this procedure easier and safer [1].
A French university tertiary care hospital.
Patients with indication for laparoscopic myomectomy. The local institutional review board ruled that approval was not required for this video article because the video describes a technique and does not report a clinical case.
Standardized laparoscopic myomectomies were recorded to realize the video.
This video presents a systematic approach to myomectomy clearly divided into 10 steps: (1) prepare your surgery, make selection and prehabilitation of patient [2], provide a good cartography of the myoma(s), and plan the surgery [3,4]; (2) ergonomy and material; (3) preventive hemostasis: triple occlusion; (4) hysterotomy; (5) enucleation by fast dissection and traction; (6) bipolar hemostasis; (7) check for missing myomas; (8) suture; (9) extraction/morcellation; and (10) prevent adhesions [5].
Standardization of laparoscopic myomectomy could make this procedure easier and safer to perform. The 10 steps presented help to perform each part of surgery in logical sequence making the procedure ergonomic and easier to adopt and learn. Standardization of laparoscopic techniques could help to reduce the learning curve.
腹腔镜子宫肌瘤剔除术具有微创治疗子宫肌瘤的优势。该技术的标准化和描述是本视频的主要目标。我们描述了腹腔镜子宫肌瘤剔除术的 10 个步骤，这有助于使该手术更容易、更安全[1]。
法国一所大学的三级保健医院。
有腹腔镜子宫肌瘤剔除术适应证的患者。当地机构审查委员会裁定，由于该视频仅描述了一种技术，并未报告临床病例，因此不需要对此视频文章进行批准。
记录标准化腹腔镜子宫肌瘤剔除术以制作视频。
本视频介绍了一种系统的子宫肌瘤剔除术方法，该方法明确分为 10 个步骤：（1）准备手术，选择和预康复患者[2]，对肌瘤进行良好的绘图，并计划手术[3,4]；（2）手术器械和材料；（3）预防性止血：三重结扎；（4）子宫切开术；（5）快速解剖和牵引剔除肌瘤；（6）双极止血；（7）检查有无遗漏的肌瘤；（8）缝合；（9）取出/切碎；（10）预防粘连[5]。
腹腔镜子宫肌瘤剔除术的标准化可以使手术更容易、更安全。所呈现的 10 个步骤有助于按逻辑顺序完成手术的各个部分，使手术更符合人体工程学，更容易掌握和学习。腹腔镜技术的标准化可以帮助减少学习曲线。
