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Updated: Jul 16, 2026
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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: short-term
Stefano Palomba1, Errico Zupi, Tiziana Russo
1Department of Obstetrics & Gynecology, University Magna Graecia of Catanzaro, Catanzaro, Italy. stefanopalomba@tin.it
Fertility and Sterility
|March 14, 2007
Summary
Minimally invasive myomectomy for symptomatic uterine fibroids (leiomyomas) can be performed laparoscopically or via minilaparotomy. Laparoscopy offers reduced blood loss and hospital stays, while minilaparotomy is quicker for fibroid removal.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Reproductive Medicine
Background:
- Symptomatic uterine leiomyomas (fibroids) affect many women, impacting fertility and quality of life.
- Surgical options for leiomyomas include myomectomy, aiming to preserve the uterus.
Purpose of the Study:
- To compare the safety and feasibility of laparoscopic versus minilaparotomic myomectomy for symptomatic uterine leiomyomas.
- To evaluate surgical outcomes in women desiring conception.
Main Methods:
- A randomized controlled trial involving 136 women undergoing myomectomy for symptomatic uterine leiomyomas or unexplained infertility.
- Procedures were performed via either laparoscopic or minilaparotomic access across three Italian university departments.
Main Results:
- Minilaparotomic myomectomy showed shorter enucleation and suturing times but higher surgical difficulty.
- Laparoscopic myomectomy resulted in significantly less blood loss, lower postoperative pain, and shorter hospitalization.
- Fibroid size and location were the strongest predictors of surgical outcomes.
Conclusions:
- Both laparoscopic and minilaparotomic myomectomy are safe and minimally invasive options for uterine leiomyomas.
- Preoperative assessment of fibroid dimensions and location is crucial for selecting the optimal surgical approach.
