[Laparoscopic myomectomy: preparation for procedure and operation technique]

Area of Science:

• Gynecology
• Surgical Oncology
• Reproductive Medicine

Background:

• Uterine leiomyomata (fibroids) are the most common tumors in the female reproductive system.
• Surgical intervention remains a primary treatment for symptomatic uterine leiomyomata.
• Endoscopic surgical techniques are increasingly utilized for myoma removal.

Purpose of the Study:

• To present the technique of laparoscopic myomectomy.
• To highlight patient selection criteria for this minimally invasive procedure.
• To discuss the importance of meticulous surgical technique for future reproductive outcomes.

Main Methods:

• Laparoscopic myomectomy procedure.
• Detailed description of wound closure techniques.
• Review of patient qualification criteria for laparoscopic myomectomy.

Main Results:

• Laparoscopic myomectomy offers a viable surgical option for uterine leiomyomata.
• Precise layered closure of the myometrial defect is emphasized to mitigate risks during pregnancy and labor.
• Discussion on the use of GnRH analogues in the management of uterine leiomyomata.

Conclusions:

• Laparoscopic myomectomy provides significant benefits for women of reproductive age with uterine leiomyomata.
• The procedure is particularly advantageous for women desiring future pregnancies.
• Careful surgical technique, including layered closure, is essential for patient safety and reproductive health.