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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
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|September 11, 2004
Summary
Posterior vaginal myomectomy is a feasible surgical option for treating uterine fibroids, demonstrating an over 80% success rate. This minimally invasive approach offers a viable alternative to traditional methods.
Area of Science:
- Minimally invasive gynecologic surgery
- Reproductive medicine
- Surgical innovation
Background:
- Traditional myomectomy is performed via laparotomy.
- Endoscopic myomectomy has limitations for certain indications.
- Vaginal myomectomy is an emerging surgical technique.
Purpose of the Study:
- Evaluate the feasibility of vaginal myomectomy via posterior colpotomy.
- Assess the reproducibility of the procedure.
- Determine the complication rate associated with vaginal myomectomy.
Main Methods:
- Retrospective study conducted from November 1998 to February 2001.
- Involved 45 patients across three gynecology departments.
- Included pre-operative laparoscopy for evaluation or treatment of concurrent pelvic disorders.
Main Results:
- Vaginal myomectomy was successfully performed in 89% of patients (40 out of 45).
- Laparotomy was required intraoperatively in 11% of cases due to technical difficulty or rectal injury.
- One patient required a secondary laparotomy for pelvic abscess management.
Conclusions:
- Posterior vaginal myomectomy is a feasible and reproducible surgical procedure.
- The study achieved a success rate exceeding 80% for vaginal myomectomy.
- Further randomized trials are necessary to compare vaginal myomectomy with laparotomy and laparoscopy.