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Laparoscopic-assisted vaginal myomectomy
1Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan Tao-Yuan, Taiwan.
Study Objective:
To evaluate the safety and efficacy of combined laparoscopic and vaginal approach in dealing with uterine myomas.
Design:
Retrospective case study (Canadian Task Force classification II-2).
Setting:
Tertiary care major teaching hospital.
Patients:
Thirty-one women with symptomatic fundal and/or posterior wall uterine myomas.
Intervention:
Laparoscopic-assisted vaginal myomectomy performed by one of the authors from July 1996 to December 1998.
Measurements And Main Results:
Mean +/- SD operating time, blood loss, and length of hospital stay were 79.19+/-18.31 minutes, 150.00+/- 103.28 ml, and 3.10+/-0.75 days, respectively. No patients developed serious complications, and only two minor complications occurred.
Conclusion:
After laparoscopic inspection and location of uterine myomas, dealing with posterior and fundal uterine myomas by the vaginal route makes hemostasis and uterine repair easier than by purely laparoscopic approach.