Abstract:
STUDY OBJECTIVE:To assess whether it is possible for an experienced laparoscopic surgeon to perform efficient laparoscopic myomectomy regardless of the size, number, and location of the myomas.
DESIGN:Prospective observational study (Canadian Task Force classification II-1).
SETTING:Tertiary endoscopy center.
PATIENTS:A total of 505 healthy nonpregnant women with symptomatic myomas underwent laparoscopic myomectomy at our center. No exclusion criteria were based on the size, number, or location of myomas.
INTERVENTIONS:Laparoscopic myomectomy and modifications of the technique: enucleation of the myoma by morcellation while it is still attached to the uterus with and without earlier devascularization.
MEASUREMENTS AND MAIN RESULTS:In all, 912 myomas were removed in these 505 patients laparoscopically. The mean number of myomas removed was 1.85 +/- 5.706 (95% CI 1.72-1.98). In all, 184 (36.4%) patients had multiple myomectomy. The mean size of the myomas removed was 5.86 +/- 3.300 cm in largest diameter (95% CI 5.56-6.16 cm). The mean weight of the myomas removed was 227.74 +/- 325.801 g (95% CI 198.03-257.45 g) and median was 100 g. The median operating time was 60 minutes (range 30-270 minutes). The median blood loss was 90 mL (range 40-2000 mL). Three comparisons were performed on the basis of size of the myomas (<10 cm and >or=10 cm in largest diameter), number of myomas removed (
journal_name
J Minim Invasive Gynecoljournal_title
Journal of minimally invasive gynecologyauthors
Sinha R,Hegde A,Mahajan C,Dubey N,Sundaram Mdoi
10.1016/j.jmig.2008.01.009subject
Has Abstractpub_date
2008-05-01 00:00:00pages
292-300issue
3eissn
1553-4650issn
1553-4669pii
S1553-4650(08)00079-4journal_volume
15pub_type
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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更新日期:2020-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,评审
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更新日期:2015-01-01 00:00:00
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