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Updated: Apr 19, 2026

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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[Laparoscopic vs abdominal myomectomy].

B Bechev, N Magunska, S Ivanov

    Akusherstvo I Ginekologiia
    |December 17, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Laparoscopic myomectomy (LM) offers reduced blood loss and shorter hospital stays for uterine fibroids compared to abdominal myomectomy (AM), despite longer operative times.

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    Area of Science:

    • Gynecology
    • Minimally Invasive Surgery
    • Surgical Oncology

    Background:

    • Uterine myomas (fibroids) are common benign tumors affecting women of reproductive age.
    • Surgical intervention, including myomectomy, is often necessary for symptomatic fibroids.
    • Laparoscopic myomectomy (LM) and abdominal myomectomy (AM) are established surgical approaches.

    Purpose of the Study:

    • To compare the efficacy and perioperative outcomes of laparoscopic myomectomy (LM) versus abdominal myomectomy (AM) for treating large intramural uterine fibroids.
    • To identify the most appropriate surgical method based on key clinical indicators.

    Main Methods:

    • A retrospective study comparing 172 women with intramural uterine fibroids >5 cm treated between January 2011 and April 2014.
    • 106 patients underwent abdominal myomectomy (AM), and 66 underwent laparoscopic myomectomy (LM).
    • Analysis included patient demographics, fibroid characteristics, and perioperative indicators (operative time, blood loss, hospital stay, hemoglobin/hematocrit changes).

    Main Results:

    • Laparoscopic myomectomy (LM) group demonstrated significantly less postoperative decrease in hemoglobin and hematocrit.
    • The LM group experienced reduced blood loss and shorter hospital stays compared to the AM group.
    • Abdominal myomectomy (AM) required significantly less operative time than laparoscopic myomectomy (LM).

    Conclusions:

    • Laparoscopic myomectomy (LM) is a viable and potentially advantageous surgical option for large intramural uterine fibroids, offering improved recovery.
    • While operative time is longer, the benefits of reduced blood loss and shorter hospitalization favor LM in selected cases.
    • Further research may explore patient selection criteria to optimize outcomes for both LM and AM procedures.