Minilaparoscopic myomectomy: a mini-invasive technical variant.

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Surgery
• Surgical Innovation

Background:

• Laparoscopic myomectomy is a standard surgical procedure for uterine fibroids.
• Existing techniques can be further refined for improved patient outcomes and surgeon feasibility.
• Minimally invasive approaches are increasingly preferred in gynecologic surgery.

Purpose of the Study:

• To introduce and evaluate a novel mini-invasive technical variant for laparoscopic myomectomy.
• To compare the feasibility, pain, and aesthetic outcomes of the mini-invasive technique against standard laparoscopic myomectomy.

Main Methods:

• A prospective, controlled, randomized trial involving 170 patients undergoing laparoscopic myomectomy.
• Patients were divided into two groups: standard laparoscopic myomectomy (Group A, n=98) and the mini-invasive technique (Group B, n=72).
• The mini-invasive technique utilized a 10-mm umbilical trocar and two 5-mm ancillary trocars, with transumbilical morcellation.

Main Results:

• Surgical difficulty was comparable between the two groups (P=nonsignificant).
• Patients in the mini-invasive group (Group B) reported significantly less postoperative pain (P<.01).
• Aesthetic results were significantly better in the mini-invasive group (Group B) compared to the standard group (Group A) (P<.01).

Conclusions:

• The described mini-invasive laparoscopic myomectomy is less invasive and more feasible than conventional techniques.
• This technique offers a valid surgical approach with highly acceptable aesthetic results for patients.
• The findings support the adoption of this mini-invasive variant for improved patient care in myomectomy procedures.