Adhesion formation after laparoscopic myomectomy.

作者信息

Bulletti C, Polli V, Negrini V, Giacomucci E, Flamigni C

机构信息

Unit of Special Pelvic Surgery, Operative Laparoscopy and Hysteroscopy, First Institute of Obstetrics and Gynecology, Via Massarenti 13, 40138 Bologna, Italy.

出版信息

J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):533-6. doi: 10.1016/s1074-3804(05)80163-x.

STUDY OBJECTIVE

To determine the frequency of adhesion formation after myomectomy performed by operative laparoscopy or laparotomy.

DESIGN

Case-control study. Setting. Academic women's hospital.

PATIENTS

Thirty-two premenopausal women scheduled for myomectomy by one of two techniques.

INTERVENTIONS

Surgical removal of myomata.

MEASUREMENTS AND MAIN RESULTS

Of the 32 women, 16 underwent laparotomy and 16 laparoscopy. Second-look laparoscopy was performed in 28 patients, at which time adhesions were lysed. Compared with laparotomy, laparoscopy resulted in adhesions in significantly fewer patients, and in significantly lower scores when adhesions were detected.

CONCLUSION

Laparoscopic removal of uterine myomata is associated with fewer adhesions than removal by laparotomy.