[The surgical treatment of patients with uterine myoma by using endoscopic methods and laser technics]

The advantages and shortcomings of endoscopic and laser myomectomies in comparison with conventional myomectomy using laparotomy are discussed. A total of 279 patients with uterine myoma were subjected to myomectomy using laparotomy with CO2 laser (n = 109), laparotomy without laser (n = 45), laparoscopy (n = 120), and hysteroscopic removal of submucosal fibroids (n = 5). Comparative statistic analysis of the major intraoperative and early postoperative clinical parameters indicated that laparoscopic myomectomies are associated with an appreciable reduction of blood loss, its duration is the same as that of traditional operation, and the postoperative period runs a more benign course than after conventional surgery.