Objective: The aim of this study was to compare single versus multiple laparoscopic myomectomy with an intracapsular method. Study Design: A total of 335 laparoscopic intracapsular myomectomies were compared. They were subdivided into two groups. Group I included 195 patients with myoma; group II, 140 patients with multiple myomas, 4-9 cm in diameter. Laparoscopic procedures were compared with respect to intraoperative complications, postoperative compliance, and general surgical feedback. Results were analyzed using SAS software (version 8), considering a P-value of < 0.05 as significant. Results: No differences (P > 0.05) between groups were observed with respect to the following: intraoperative blood loss (98 +/- 4.7 mL of group I versus 106 +/- 6.8 mL of group II), catheter inside pelvis for postsurgical drainage (40% versus 36.4% women), analgesic administration for the first 24 hours (41.5% versus 40% patients), postoperative fever after 24 hours (11.2% versus 9.2% women), postoperative therapeutic antibiotics administration (8.2% versus 6.4% patients), and hospitalization and postoperative ultrasound (US) intramyometrial hematoma detection (6.6% versus 5.7% of group II). The only surgical statistical difference (P < 0.05) was in the mean total laparoscopic time (60 +/- 7.2 minutes for group I versus 97 +/- 8.9 minutes for group II). Conclusions: Intracapsular laparoscopic myomectomies, performed in the same session on a single or on multiple fibroids, seem to preserve myometrial integrity and allow the restoration of uterine scar, with few early and late surgical complications.

Laparoscopic Intracapsular Myomectomy: Comparison of Single Versus Multiple Fibroids Removal. An Institutional Experience / Andrea, Tinelli; Antonio, Malvasi; Gernot, Hudelist; Cavallotti, Carlo; Daniel Alberto, Tsin; Thoralf, Schollmeyer; Bernd, Bojahr; Liselotte, Mettler. - In: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES. - ISSN 1092-6429. - 20:8(2010), pp. 705-711. [10.1089/lap.2010.0082]

Laparoscopic Intracapsular Myomectomy: Comparison of Single Versus Multiple Fibroids Removal. An Institutional Experience

CAVALLOTTI, Carlo;
2010

Abstract

Objective: The aim of this study was to compare single versus multiple laparoscopic myomectomy with an intracapsular method. Study Design: A total of 335 laparoscopic intracapsular myomectomies were compared. They were subdivided into two groups. Group I included 195 patients with myoma; group II, 140 patients with multiple myomas, 4-9 cm in diameter. Laparoscopic procedures were compared with respect to intraoperative complications, postoperative compliance, and general surgical feedback. Results were analyzed using SAS software (version 8), considering a P-value of < 0.05 as significant. Results: No differences (P > 0.05) between groups were observed with respect to the following: intraoperative blood loss (98 +/- 4.7 mL of group I versus 106 +/- 6.8 mL of group II), catheter inside pelvis for postsurgical drainage (40% versus 36.4% women), analgesic administration for the first 24 hours (41.5% versus 40% patients), postoperative fever after 24 hours (11.2% versus 9.2% women), postoperative therapeutic antibiotics administration (8.2% versus 6.4% patients), and hospitalization and postoperative ultrasound (US) intramyometrial hematoma detection (6.6% versus 5.7% of group II). The only surgical statistical difference (P < 0.05) was in the mean total laparoscopic time (60 +/- 7.2 minutes for group I versus 97 +/- 8.9 minutes for group II). Conclusions: Intracapsular laparoscopic myomectomies, performed in the same session on a single or on multiple fibroids, seem to preserve myometrial integrity and allow the restoration of uterine scar, with few early and late surgical complications.
2010
01 Pubblicazione su rivista::01a Articolo in rivista
Laparoscopic Intracapsular Myomectomy: Comparison of Single Versus Multiple Fibroids Removal. An Institutional Experience / Andrea, Tinelli; Antonio, Malvasi; Gernot, Hudelist; Cavallotti, Carlo; Daniel Alberto, Tsin; Thoralf, Schollmeyer; Bernd, Bojahr; Liselotte, Mettler. - In: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES. - ISSN 1092-6429. - 20:8(2010), pp. 705-711. [10.1089/lap.2010.0082]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/11654
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