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Use of the LAP DISK (abdominal wall sealing device) in laparoscopically assisted myomectomy
Fuminori Taniguchi1, Tasuku Harada, Tomio Iwabe
1Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan. tani4327@grape.med.tottori-u.ac.jp
Objective:
To evaluate the efficacy of an abdominal wall sealing device (the LAP DISK) used during laparoscopically assisted myomectomy (LAM).
Design:
Retrospective study.
Setting:
Tottori University Hospital, Yonago, Japan.
Patient(S):
All 43 patients who underwent LAM using the LAP DISK.
Intervention(S):
Ultrasonography and magnetic resonance imaging.
Main Outcome Measure(S):
Treatment strategy, operative outcome, and postoperative pregnancy rate.
Result(S):
Weight and size of the myomas removed ranged from 40-700 g (mean: 208.0 g) and 2-10 cm (mean: 5.4 cm). Mean blood loss was 42.3 mL. Half of the 18 patients who had been diagnosed with primary infertility for >2 years became pregnant without postoperative assisted reproductive techniques.
Conclusion(S):
The LAP DISK, a useful device for LAM, allows surgeons to remove myomas safely and repair uterine defects effectively while minimizing blood loss and trauma.
