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Published on: January 17, 2019
Vaginal myomectomy using posterior colpotomy: feasibility in normal practice
Aubert Agostini1, Bruno Deval, Anka Birsan
1Department of Obstetrics & Gynaecology B, La Conception Hospital, 147 Boulevard Baille, 13385 Marseille Cedex 05, France. aagostini@mail.ap-hm.fr
Background:
Myomectomy is classically performed via laparotomy. Endoscopic surgery is limited for some indications. Vaginal myomectomy is a surgical procedure that has recently been evaluated. The aim of this study was to evaluate the feasibility, reproducibility and complication rate of vaginal myomectomy via posterior colpotomy.
Methods:
A retrospective study was performed from November 1998 to February 2001 in three departments of gynaecology.
Results:
Forty-five patients were involved, 17 (37.8%) of whom underwent laparoscopy before vaginal myomectomy for evaluation or treatment of a second pelvic disorder. Myomectomy was performed vaginally in 40 (89%) of the 45 patients. Peroperative laparotomy was required in five patients (11%), either because vaginal myomectomy proved impossible (four cases) or because of rectal injury (one case). One patient needed supplementary laparotomy on day 8 for the treatment of a pelvic abscess.
Conclusion:
Posterior vaginal myomectomy seems to be a feasible and reproducible surgical procedure. The success rate of vaginal myomectomy in this study was over 80%. Further randomised studies are needed to compare this procedure with laparotomy and laparoscopy.
