TY - JOUR
T1 - A prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultraminilaparotomy
AU - Wen, Kuo Chang
AU - Sung, Pi Lin
AU - Chao, Kuan Chong
AU - Lee, Wen Ling
AU - Liu, Wei Min
AU - Wang, Peng Hui
N1 - Funding Information:
Supported in part by grants from Taipei Veterans General Hospital (V95ED1-013; V95B2-003) and the National Science Council (NSC 96-2314-B-010-018-MY3), Taiwan.
PY - 2008/12
Y1 - 2008/12
N2 - Objective: To evaluate the short-term therapeutic outcome of myomectomy through conventional laparotomy in the treatment of uncomplicated uterine myomas compared with myomectomy through ultraminilaparotomy. Design: Controlled, nonrandomized clinical study. Setting: University-affiliated tertiary care referral center. Patient(s): One hundred thirteen patients with symptomatic and uncomplicated uterine myomas warranting surgical treatment, who expressed a strong desire to retain their uterus. Seventy-two patients underwent myomectomy by laparotomy and 41 by ultraminilaparotomy. Intervention(s): Myomectomy through laparotomy or ultraminilaparotomy access. Main Outcome Measure(s): The outcome was measured by comparing blood loss, need for blood transfusion, operative time, postoperative febrile morbidity, time of flatus passage after operation, and postoperative pain (visual analogue scale score and anesthesia use) in both groups. Result(s): General characteristics of the patients were similar in both groups. There were no statistical differences in mean operative time, blood loss, febrile morbidity, insurance pay, and therapeutic efficacy (symptom relief) between the two groups. However, postoperative recovery seemed to be better and more rapid in the ultraminilaparotomy group compared with that in the laparotomy group, including rapid and early bowel movement, lower scores on the visual analogue scale, and shortened postoperative hospital stay. Conclusion(s): This study demonstrates the superiority of ultraminilaparotomy in treating uncomplicated uterine myomas, compared with laparotomy, during this 1-year short-term follow-up.
AB - Objective: To evaluate the short-term therapeutic outcome of myomectomy through conventional laparotomy in the treatment of uncomplicated uterine myomas compared with myomectomy through ultraminilaparotomy. Design: Controlled, nonrandomized clinical study. Setting: University-affiliated tertiary care referral center. Patient(s): One hundred thirteen patients with symptomatic and uncomplicated uterine myomas warranting surgical treatment, who expressed a strong desire to retain their uterus. Seventy-two patients underwent myomectomy by laparotomy and 41 by ultraminilaparotomy. Intervention(s): Myomectomy through laparotomy or ultraminilaparotomy access. Main Outcome Measure(s): The outcome was measured by comparing blood loss, need for blood transfusion, operative time, postoperative febrile morbidity, time of flatus passage after operation, and postoperative pain (visual analogue scale score and anesthesia use) in both groups. Result(s): General characteristics of the patients were similar in both groups. There were no statistical differences in mean operative time, blood loss, febrile morbidity, insurance pay, and therapeutic efficacy (symptom relief) between the two groups. However, postoperative recovery seemed to be better and more rapid in the ultraminilaparotomy group compared with that in the laparotomy group, including rapid and early bowel movement, lower scores on the visual analogue scale, and shortened postoperative hospital stay. Conclusion(s): This study demonstrates the superiority of ultraminilaparotomy in treating uncomplicated uterine myomas, compared with laparotomy, during this 1-year short-term follow-up.
KW - Conventional laparotomy
KW - myomectomy
KW - ultraminilaparotomy
KW - uncomplicated myoma
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U2 - 10.1016/j.fertnstert.2007.10.006
DO - 10.1016/j.fertnstert.2007.10.006
M3 - Article
C2 - 18177871
AN - SCOPUS:42949177224
SN - 0015-0282
VL - 90
SP - 2361
EP - 2366
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 6
ER -