A comparison of surgical outcomes between laparoscopic and open myomectomy in Southern Taiwan

Abstract Objective To compare operative data and operative and clinical outcomes of laparoscopic myomectomy (LM) with those of open myomectomy (OM). Methods In a retrospective study, the records of 81 women who underwent LM and 74 women who underwent at E-DA Hospital, Yan-Chau Shiang, Taiwan, from J...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2012-11, Vol.119 (2), p.189-193
Main Authors: Chang, Chi-Chang, Chen, Wency
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Loss, Surgical
Blood Transfusion - statistics & numerical data
Digestive system. Abdomen
Endoscopy
Female
Fibroid
Gynecology. Andrology. Obstetrics
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopic myomectomy
Laparoscopy - methods
Laparotomy
Leiomyoma
Leiomyoma - surgery
Medical sciences
Middle Aged
Obstetrics and Gynecology
Open myomectomy
Operative Time
Postoperative Complications - epidemiology
Recurrence
Retrospective Studies
Taiwan
Treatment Outcome
Uterine Myomectomy - methods
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Summary:Abstract Objective To compare operative data and operative and clinical outcomes of laparoscopic myomectomy (LM) with those of open myomectomy (OM). Methods In a retrospective study, the records of 81 women who underwent LM and 74 women who underwent at E-DA Hospital, Yan-Chau Shiang, Taiwan, from June 2004 to October 2007 were reviewed. Patient demographic, intraoperative, and postoperative data were compared between the 2 surgical groups. Results The mean ± SD age of patients in the OM and LM groups was 40.08 ± 6.49 years and 41.14 ± 6.46 years, respectively. Median (range) surgical time and blood loss were both significantly less in the LM group than in the OM group (100 min [73–120 min] versus 120 min [90–146 min], and 100 mL [100–200 mL] versus 150 mL [100–305 mL], respectively). Thirteen patients in the OM group required a blood transfusion, compared with 1 in the LM group. There was no difference in complications or recurrences between the 2 groups. Conclusion Compared with OM, LM was found to be associated with shorter surgical time and less blood loss, but there was no difference in the rate of complications or recurrence between the 2 groups.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2012.06.018