Efficacy of laparoscopic myomectomy with a baseball-style suture technique for hysteromyoma
10.3760/cma.j.issn.1008-6706.2022.05.009
- VernacularTitle:腹腔镜子宫肌瘤剔除术联合棒球式缝合法治疗子宫肌瘤的效果研究
- Author:
Lu YANG
1
;
Lin SANG
;
Haihong WU
Author Information
1. 合肥市第二人民医院妇产科，合肥 233000
- Keywords:
Leiomyoma;
Laparoscopes;
Uterine myomectomy;
Suture techniques;
Operative time;
Blood loss,surgical;
Postoperative complications;
Case-control studies
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(5):679-682
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of laparoscopic myomectomy with a baseball-style suture technique in the treatment of hysteromyoma.Methods:Sixty patients with hysteromyoma who received treatment in the Department of Obstetrics and Gynecology, The Second People's Hospital of Hefei, China between July 2018 and July 2020 were included in this study. They were randomly assigned to observation and control groups with 30 patients per group. The observation group was subjected to laparoscopic myomectomy with a baseball-style suture technique. The control group was given laparoscopic myomectomy with a continuous suture technique. Intraoperative indices and postoperative complications were compared between the two groups.Results:Operative time in the observation group was significantly shorter than that in the control group [(98.06 ± 35.41) minutes vs. (119.39 ± 33.65) minutes, t = 2.39, P < 0.05]. Intraoperative blood loss in the observation group was significantly less than that in the control group [(28.33 ± 9.56) mL vs. (46.17 ± 13.08) mL, t = 6.36, P < 0.05]. The percentage of intraoperative needle-hole bleeding in the observation group was significantly lower than that in the control group [16.67% (5/30) vs. 46.67% (14/30), χ 2 = 6.23, P < 0.05). The time to anal exhaust and the time to drainage in the observation group were (19.21 ± 5.77) hours and (59.07 ± 18.85) hours, respectively, which were significantly shorter than (25.39 ± 9.65) hours and (77.22 ± 27.07) hours in the control group ( t = 3.01, 3.02, both P < 0.05). The incidence of postoperative fever in the observation group was significantly lower than that in the control group [3.33% (1/30) vs. 26.67% (8/30), χ 2 = 4.70, P < 0.05]. Conclusion:Laparoscopic myomectomy with a baseball-style suture technique is highly effective on hysteromyoma. It can improve the safety of operation and has a great clinical value.
