A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas

Francesco Fanfani, Anna Fagotti, Giuseppe Bifulco, Alfredo Ercoli, Mario Malzoni, Giovanni Scambia

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Abstract

STUDY OBJECTIVE: Comparison between laparoscopy and minilaparotomy in the management of intramural and/or subserosal uterine myomas. DESIGN: Prospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Two hundred-thirteen women with at least one subserosal and/or intramural uterine myoma. INTERVENTION: Laparoscopy and minilaparotomy myomectomy. MEASUREMENTS AND MAIN RESULTS: We performed 213 myomectomies, 120 by minilaparotomy and 93 by laparoscopy. Median number of myomas removed per patient was 1.4 (range 1-3) and 2.9 (range 1-5) in the laparoscopy and minilaparotomy groups, respectively (p <.05). The estimated blood loss was not significant in either of the two groups, and no intraoperative or early postoperative complications were registered. The median operating time was 62.3 minutes (range 45-80 min) and 61.6 minutes (range 40-90 min) in the laparoscopy and minilaparotomy groups, respectively (p = NS). Median duration of ileus was 1.4 days (range 1-2) in the laparoscopy group and 1.3 days (range 1-2 days) in the minilaparotomy group (p = NS). Median length of hospital stay was 2.3 days (range 2-3 days) and 2.8 days (range 2-3 days) in the laparoscopy and minilaparotomy groups, respectively (p = NS.). CONCLUSION: Myomectomy by minilaparotomy can be considered a minimally invasive alternative to laparoscopy in the surgical management of intramural and subserosal myomas.

Original languageEnglish
Pages (from-to)470-474
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume12
Issue number6
DOIs
Publication statusPublished - Dec 2005

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Myoma
Laparoscopy
Laparotomy
Prospective Studies
Uterine Myomectomy
Therapeutics
Length of Stay
Ileus
Advisory Committees

Keywords

  • Laparoscopy
  • Minilaparotomy
  • Myoma

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas. / Fanfani, Francesco; Fagotti, Anna; Bifulco, Giuseppe; Ercoli, Alfredo; Malzoni, Mario; Scambia, Giovanni.

In: Journal of Minimally Invasive Gynecology, Vol. 12, No. 6, 12.2005, p. 470-474.

Research output: Contribution to journalArticle

Fanfani, Francesco ; Fagotti, Anna ; Bifulco, Giuseppe ; Ercoli, Alfredo ; Malzoni, Mario ; Scambia, Giovanni. / A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas. In: Journal of Minimally Invasive Gynecology. 2005 ; Vol. 12, No. 6. pp. 470-474.
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