Laparoscopic myomectomy. Operative procedure and results

Area of Science:

• Minimally invasive gynecological surgery
• Laparoscopic surgical techniques
• Uterine fibroid management

Background:

• Uterine fibroids (myomas) are common benign tumors affecting women of reproductive age.
• Traditional myomectomy often involves laparotomy, associated with significant morbidity.
• Laparoscopic myomectomy presents a less invasive alternative for fibroid removal.

Purpose of the Study:

• To evaluate the safety and efficacy of a specific laparoscopic myomectomy technique.
• To assess the outcomes and complication rates of laparoscopic myomectomy.
• To compare laparoscopic myomectomy with conventional laparotomy.

Main Methods:

• A precise laparoscopic myomectomy technique was employed in 102 patients.
• The technique involved using a monopolar hook for uterine incision and intraperitoneal sutures.
• Myoma removal was primarily achieved through suprapubic puncture site fragmentation or colpotomy.

Main Results:

• The procedure was successfully completed laparoscopically in 100 out of 102 patients (98%).
• Conversion to laparotomy was required in only 2 cases.
• No intraoperative complications were observed, and postoperative adhesions were noted in 2 out of 17 second-look laparoscopies.

Conclusions:

• Operative laparoscopy for myomectomy offers significant advantages over laparotomy.
• This minimally invasive approach demonstrates a low risk of complications in carefully selected cases.
• Laparoscopic myomectomy is a viable and effective treatment option for uterine fibroids.