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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Published on: June 25, 2013

Are there any limits for laparoscopic myomectomy?-tips & tricks.

Hale Goksever Celik1, Ercan Bastu2

  • 1Department of Obstetrics and Gynecology, Acibadem University Acibadem Fulya Hospital, IVF and Endometriosis Center, Istanbul, Turkey.

Gynecology and Pelvic Medicine
|May 29, 2026
PubMed
Summary

Uterine fibroids (leiomyomas) are common benign tumors in women. Laparoscopic myomectomy offers benefits over open surgery, with no difference in live birth rates regardless of surgical approach.

Keywords:
Laparoscopyfibroidslaparoscopic myomectomyleiomyomasmyoma uteri

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Published on: September 12, 2025

Area of Science:

  • Gynecology
  • Oncology
  • Reproductive Medicine

Background:

  • Uterine leiomyomas (fibroids) are the most common benign pelvic tumors in women, originating from myometrial smooth muscle cells.
  • Diagnosis and prevalence are challenging due to heterogeneous presentations, ranging from asymptomatic cases to significant symptoms like bleeding, pain, and infertility.
  • Management decisions are influenced by symptom severity and the patient's desire for future fertility, as treatments impact reproductive outcomes differently.

Purpose of the Study:

  • To review the characteristics, diagnosis, and management of uterine leiomyomas.
  • To compare the outcomes of different surgical approaches, particularly laparoscopic versus open myomectomy.
  • To assess the impact of surgical route on fertility and live birth rates.

Main Methods:

  • Review of literature on uterine leiomyomas, focusing on diagnostic challenges and treatment modalities.
  • Comparison of surgical techniques including hysteroscopy, laparoscopy, and laparotomy based on fibroid characteristics (number, size, location).
  • Analysis of factors influencing surgical approach selection and post-operative recovery.

Main Results:

  • Laparoscopic myomectomy is increasingly preferred due to reduced blood loss, pain, complications, and faster recovery compared to open surgery.
  • Surgical route selection depends on fibroid characteristics; however, available data suggests no significant impact on live birth rates.
  • While fibroids can cause infertility and obstetric complications, treatment aims to balance symptom relief with fertility preservation.

Conclusions:

  • Uterine leiomyomas require careful management considering symptom severity and fertility goals.
  • Laparoscopic myomectomy presents advantages in recovery and complication rates.
  • Current evidence indicates that the surgical approach for myomectomy does not affect live birth rates.