Surgical results of myomectomy using laparoscopic and minilaparotomic access

Evaluation of: Palombo S, Zupi E, Russo T et al.: A multicentric randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: short-term outcomes. Fertil. Steril. (2007) (In Press) [1] . There has been significant debate regarding the best route to myomectomy in symptomatic and infertile women. In this study, 136 premenopausal women wishing to conceive were randomly allocated to two groups and these were compared. The patients were assigned to one of the surgical procedures (i.e., laparoscopic or minilaparotomic). Fibroid enucleation and suturing times were significantly shorter after minilaparotomic myomectomy, whereas the degree of surgical difficulty was significantly higher when using laparoscopic myomectomy. The surgical results were significantly influenced by specific investigational centers involved, and also by fibroid dimension and localization. This last variable was the strongest predictor of surgical outcome.