Vaginal myomectomy : A realistic alternative?

ABSTRACT The object of this study was to compare the morbidity of vaginal myomectomy and abdominal myomectomy in the surgical management of uterine leiomyomas. Hospital records were reviewed retrospectively for all women who underwent vaginal myomectomy (VM, n = 52) performed exclusively vaginally or after previous diagnostic laparoscopy, and abdominal myomectomy (AM, n = 97) between January 1, 1993, and July 31, 1998, for the preoperative diagnosis of leiomyoma. There were significant differences between the two groups for average age (AM 37.8 years, VM 41.3 years, p < 0.001), mean parity (AM 0.7, VM 1.2, p < 0.002), average number of myomas (AM 1.8, VM 1.4, p < 0.007), mean myoma weight (AM 418.1 g, VM 205.5 g, p < 0.0001), and hospitalization time (AM 7.8 days, VM 6.5 days, p < 0.0001). Preoperative use of gonadotropin releasing hormone agonists, operative time, and mean myoma size were similar in the two groups. There was no significant difference between the two groups with regard to transfusion rate...

[1]  C. Chapron,et al.  Second look after laparoscopic myomectomy. , 1998, Human reproduction.

[2]  C. Chapron,et al.  Laparoscopic Myomectomy Operative Technique and Results , 1997, Annals of the New York Academy of Sciences.

[3]  R. Iverson,et al.  Relative Morbidity of Abdominal Hysterectomy and Myomectomy for Management of Uterine Leiomyomas , 1996, Obstetrics and gynecology.

[4]  F. Guyon,et al.  Gasless laparoscopic gynecologic surgery. , 1996, European journal of obstetrics, gynecology, and reproductive biology.

[5]  S. Guerriero,et al.  Laparoscopic versus abdominal myomectomy: a prospective, randomized trial to evaluate benefits in early outcome. , 1996, American journal of obstetrics and gynecology.

[6]  Michael Diamond,et al.  Morbidity Associated With Abdominal Myomectomy , 1993, Obstetrics and gynecology.

[7]  T. Tulandi,et al.  Adhesion Formation and Reproductive Outcome After Myomectomy and Second-Look Laparoscopy , 1993, Obstetrics and gynecology.

[8]  D. Briggs.  Abdominal myomectomy in the treatment of uterine myomas. , 1966, American journal of obstetrics and gynecology.