Clinical efficacy review on cases of laparoscopic myomectomy.
- Author:
Jung Mi BYUN
1
;
Dae Hoon JEONG
;
Young Nam KIM
;
Young Jin SEO
;
Su Sun KIM
;
Moon Su SUNG
;
Ki Tae KIM
;
Kyung Bok LEE
Author Information
1. Department of Obstetrics and Gynecology, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Clinical efficacy;
Laparoscopic myomectomy;
Uterine myoma
- MeSH:
Cesarean Section;
Female;
Hemoglobins;
Humans;
Length of Stay;
Medical Records;
Myoma;
Parity;
Pregnancy;
Retrospective Studies
- From:Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
2012;24(1):14-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To report the safety and clinical efficacy of laparoscopic myomectomy. METHODS: We analyzed retrospectively the data for 74 laparoscopic myomectomy performed at Inje University Busan Paik Hospital beween 2005 and 2009. With medical records, we analyzed data on the patient's age, parity, BMI, size, weight and location of myoma, previous operative history, preoperative indication, operating time, blood loss, change of hemoglobin concentration from preoperative to postoperative state, hospital stay. RESULTS: The mean age of the patients was 39.5+/-6.9 years, parity was 1.4+/-1.0 and BMI was 22.1+/-2.6 kg/m2. The size of myoma by preoperative ultrasonography was 5.2+/-1.9 cm, the weight of removed myoma was 95.1+/-88.1 g. Most myomas were subserosal and intramural type. The operating time was 95.9+/-34.4 minutes, the change of hemoglobin concentration was 1.3+/-0.78 g/dL, and the hospital stay was 4.7+/-1.1 days. Postoperatively, transfusion was done in 2 cases, one patient was pregnant and underwent an cesarean section delivery during follow-up. CONCLUSION: Laparoscopic myomectomy was performed regardless of the size, the location of the myoma or the previous operative history and had good outcomes without complications in our hospital. Laparosocpic myomectomy is considered safe and reliable procedure in various types of myoma.
