Related Experiment Video
Updated: Aug 13, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Abdominal myomectomy in women with very large uterine size
Stanley West1, Reginald Ruiz, William H Parker
1Department of Obstetrics and Gynecology, St. Vincent's Medical Center, New York, New York, USA.
Objective:
To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size.
Design:
Retrospective chart review.
Setting:
Private hospital.
Patient(S):
Women with uterine fibroids equal to or larger than 16 weeks in size.
Intervention(S):
Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003.
Main Outcome Measure(S):
Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated.
Result(S):
Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy.
Conclusion(S):
Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.
