Laparoscopic Myomectomy: Technique, Complications, and Ultrasound Scan Evaluations (original) (raw)

In the past decade several reports confirmed the feasibility and safety of laparoscopic myomectomy 1,2 and the procedure was widely adopted. The approach is difficult, however, reserved for experienced laparoscopists who master endoscopic suture techniques, since isolated case reports of uterine dehiscence in pregnancy have appeared in the literature. Laparoscopy offers well-known potential advantages over the open procedure. Before proposing it as a routine treatment, however, complications rate, 231 Abstract Study Objective. To evaluate the feasibility, limits, and complications of laparoscopic myomectomy, assess time to full recovery, and evaluate uterine wound healing by ultrasound in the early postoperative period. Design. Prospective study (Canadian Task Force classification II-2). Setting. General hospital. Patients. Three hundred sixty-eight women undergoing laparoscopic myomectomy. Intervention. Laparoscopic myomectomy and laparoscopic and/or hysteroscopic treatment of associated pathologies. Measurements and Main Results. In these women 768 myomas were removed laparoscopically. Mean operating time was 100.78 ± 43.83 minutes, mean decreases in hemoglobin and hematocrit were 1.38 ± 0.93 g/100 ml and 4.8 ± 2.9 g/100 ml, respectively, and mean length of hospital stay was 2.89 ± 1.3