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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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Published in: | International journal of gynecology and obstetrics 2012-11, Vol.119 (2), p.189-193 |
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container_title | International journal of gynecology and obstetrics |
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creator | Chang, Chi-Chang Chen, Wency |
description | 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. |
doi_str_mv | 10.1016/j.ijgo.2012.06.018 |
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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.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2012.06.018</identifier><identifier>PMID: 22986094</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>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</subject><ispartof>International journal of gynecology and obstetrics, 2012-11, Vol.119 (2), p.189-193</ispartof><rights>International Federation of Gynecology and Obstetrics</rights><rights>2012 International Federation of Gynecology and Obstetrics</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4899-22a9b1c79ee04616d897d306492e8fa5ea4ce502071fa86df5df0dbccf6468553</citedby><cites>FETCH-LOGICAL-c4899-22a9b1c79ee04616d897d306492e8fa5ea4ce502071fa86df5df0dbccf6468553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26454797$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22986094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Chi-Chang</creatorcontrib><creatorcontrib>Chen, Wency</creatorcontrib><title>A comparison of surgical outcomes between laparoscopic and open myomectomy in Southern Taiwan</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Blood Transfusion - statistics & numerical data</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Fibroid</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopic myomectomy</subject><subject>Laparoscopy - methods</subject><subject>Laparotomy</subject><subject>Leiomyoma</subject><subject>Leiomyoma - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obstetrics and Gynecology</subject><subject>Open myomectomy</subject><subject>Operative Time</subject><subject>Postoperative Complications - epidemiology</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Taiwan</subject><subject>Treatment Outcome</subject><subject>Uterine Myomectomy - methods</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkkFrFDEUxwdR7Fr9Ah4kF6GXGV8ymUwCIpRia6XQQ-tRQjbzpmadSdZkx2W-fTPsquBBPAWS3_-F93uvKF5TqChQ8W5Tuc1DqBhQVoGogMonxYrKVpU1b9XTYgXAoGyZYifFi5Q2AEBbSp8XJ4wpKUDxVfH1nNgwbk10KXgSepKm-OCsGUiYdvkFE1njbo_oyWAyFpINW2eJ8R0J23w7zhmyuzDOxHlyl1PfMHpyb9ze-JfFs94MCV8dz9Piy-XH-4tP5c3t1fXF-U1puVSqZMyoNbWtQgQuqOikarsaBFcMZW8aNNxik5tpaW-k6Pqm66FbW9sLLmTT1KfF2aHuNoYfE6adHl2yOAzGY5iSpiBBUA6SZ5QdUJt7SRF7vY1uNHHOkF606o1etOpFqwahs9YcenOsP61H7H5HfnnMwNsjYFKW10fjrUt_OMGbPJI2c-2B27sB5__4Wl9_vrqlUuXk-0MSs8efDqNO1qG32LmY_esuuH938OGvuB2cXwb9HWdMmzBFnyekqU45o--W1Vk2hzIAzuq2fgQ6HLzV</recordid><startdate>201211</startdate><enddate>201211</enddate><creator>Chang, Chi-Chang</creator><creator>Chen, Wency</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201211</creationdate><title>A comparison of surgical outcomes between laparoscopic and open myomectomy in Southern Taiwan</title><author>Chang, Chi-Chang ; Chen, Wency</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4899-22a9b1c79ee04616d897d306492e8fa5ea4ce502071fa86df5df0dbccf6468553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Blood Transfusion - statistics & numerical data</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Fibroid</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopic myomectomy</topic><topic>Laparoscopy - methods</topic><topic>Laparotomy</topic><topic>Leiomyoma</topic><topic>Leiomyoma - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obstetrics and Gynecology</topic><topic>Open myomectomy</topic><topic>Operative Time</topic><topic>Postoperative Complications - epidemiology</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Taiwan</topic><topic>Treatment Outcome</topic><topic>Uterine Myomectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Chi-Chang</creatorcontrib><creatorcontrib>Chen, Wency</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Chi-Chang</au><au>Chen, Wency</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of surgical outcomes between laparoscopic and open myomectomy in Southern Taiwan</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2012-11</date><risdate>2012</risdate><volume>119</volume><issue>2</issue><spage>189</spage><epage>193</epage><pages>189-193</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>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.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>22986094</pmid><doi>10.1016/j.ijgo.2012.06.018</doi><tpages>5</tpages></addata></record> |
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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 |
title | A comparison of surgical outcomes between laparoscopic and open myomectomy in Southern Taiwan |
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