4.6 Review

Laparoscopic myomectomy - The importance of surgical techniques

Journal

FRONTIERS IN MEDICINE
Volume 10, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fmed.2023.1158264

Keywords

laparoscopic myomectomy; suture; surgical technique; barbed suture; pregnancy outcome

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Laparoscopy is a common procedure for benign gynecological tumors, but it can be challenging for myomas. Ongoing research focuses on improving outcomes through port access, suture type, morcellation, and complication management. Myomectomy is the main surgical option for uterus-sparing procedures, with laparoscopic technique being crucial due to potential impacts on fertility and pregnancy outcomes. This review collates data on different suture techniques, including advantages, difficulties, and possible long-term impacts.
Laparoscopy is a routine procedure for benign gynecological tumors. Although the laparoscopic approach for myomas is a common procedure, it can be challenging. To improve outcomes, research regarding port access, suture type, morcellation, and complication management remains ongoing. Myomectomy is the main surgical option for patients seeking uterus-sparing procedures to maintain future fertility. The laparoscopic technique is the most important in these cases, given that possible complications can impact fertility and pregnancy outcomes. Herein, we reviewed and collated the available data regarding different suture techniques, including advantages, difficulties, and possible long-term impacts.

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