Journal
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
Volume 202, Issue 2, Pages -Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2009.10.872
Keywords
fibroids; laparoscopically assisted ultraminilaparotomy; laparotomy; leiomyoma; myomectomy; ultraminilaparotomy
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Funding
- Taipei Veterans General Hospital [V97ED1-008, V98F-009, V98C1-044]
- National Science Council, Taipei, Taiwan [NSC 96-2314-B-010-018-MY3]
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OBJECTIVE: We sought to compare myomectomy performed by laparotomy (LT), and 2 other modified approaches: ultraminilaparotomy (UMLT) and laparoscopically assisted UMLT for uterine fibroids with a size <8 cm and the number <5. STUDY DESIGN: A cohort study, including 79 (35.3%) women in the LT group, 71 (31.7%) in the UMLT group, and 74 (33.0%) in the laparoscopically assisted UMLT group, was conducted. The outcome was measured by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes. RESULTS: The median follow-up was 52 months with similar recurrence rates in the 3 groups. The modified approaches had advantages not only in the surgical parameters, but also in postoperative recovery, compared to LT (all P < .05). CONCLUSION: UMLT and laparoscopically assisted UMLT can be used successfully in place of LT in the management of uterine fibroids.
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