New tool (Laparotenser) for gasless laparoscopic myomectomy: a multicenter-controlled study

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Surgical Instrumentation Innovation

Background:

• Gasless laparoscopic myomectomy offers an alternative to traditional methods.
• Evaluating novel surgical instruments is crucial for advancing minimally invasive procedures.

Purpose of the Study:

• To assess the feasibility and safety of the Laparotenser instrument during gasless laparoscopic myomectomy.
• To compare outcomes between gasless laparoscopic myomectomy using the Laparotenser and traditional laparoscopic myomectomy.

Main Methods:

• A multicenter controlled study involving 60 patients (30 experimental, 30 historical controls).
• Patients underwent gasless laparoscopic myomectomy with or without the Laparotenser.
• Surgical data, including operative time, blood loss, pain, and complications, were analyzed.

Main Results:

• No significant differences in operative time, ileus, hospitalization, or complication rates.
• The Laparotenser group experienced significantly lower postoperative pain and analgesic use.
• Intraoperative blood loss and surgical difficulty were higher in the Laparotenser group.

Conclusions:

• The Laparotenser is a safe instrument for gasless laparoscopic myomectomy, even during the initial learning curve.
• The instrument demonstrates potential for improving postoperative recovery, specifically pain management.