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Gasless laparoscopically assisted myomectomy using a wound retraction system.

S Akira¹, M Ichikawa, N Iwasaki

¹Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan. s-akira@nms.ac.jp

Asian Journal of Endoscopic Surgery

|July 11, 2012

Summary

Gasless laparoscopically assisted myomectomy (LAM) is a safe and effective method for treating uterine fibroids. This minimally invasive technique offers a feasible alternative to traditional surgery, with good patient outcomes.

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Area of Science:

Gynecology
Minimally Invasive Surgery
Surgical Oncology

Background:

Uterine myomas (fibroids) are common benign tumors that can cause significant symptoms.
Traditional myomectomy can involve extensive surgery and long recovery times.
Laparoscopic approaches aim to reduce invasiveness and improve patient recovery.

Purpose of the Study:

To evaluate the feasibility of gasless laparoscopically assisted myomectomy (LAM) using a wound retraction system.
To assess the safety and efficacy of this minimally invasive technique for symptomatic uterine myomas.

Main Methods:

A study of 275 patients undergoing gasless LAM.
Classification of myoma location for patients with fewer than three nodules.
Examination of operative outcomes, intraoperative/postoperative courses, and complications.

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Main Results:

All 275 operations were completed successfully without conversion to laparotomy.
No serious complications were reported.
Mean blood loss: 190.3 mL; Mean operating time: 152.2 minutes; Mean myoma size: 8.9 cm; Mean myomas per patient: 2.8; Average hospital stay: 5.7 days.

Conclusions:

Gasless LAM with a wound retractor is a feasible surgical option.
This technique is safe, cost-effective, and minimally invasive.
It does not require advanced laparoscopic skills for successful myomectomy.