Laparoscopic versus abdominal myomectomy, size and number of the myomas from limiting factors for laparoscopic myomectomy

Chiharu Tomonaga; Hirohide Inagaki; Eiji Shibata; Satoshi Aramaki; Kensuke Saito; Toshinori Kawagoe; Naoyuki Toki; Yusuke Matsuura; Toru Hachisuga

doi:10.5180/jsgoe.26.462

Original

Laparoscopic versus abdominal myomectomy, size and number of the myomas from limiting factors for laparoscopic myomectomy

Chiharu Tomonaga, Hirohide Inagaki, Eiji Shibata, Satoshi Aramaki, Kensuke Saito, Toshinori Kawagoe, Naoyuki Toki, Yusuke Matsuura, Toru Hachisuga

Author information

Chiharu Tomonaga
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Hirohide Inagaki
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Eiji Shibata
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Satoshi Aramaki
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Kensuke Saito
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Toshinori Kawagoe
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Naoyuki Toki
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Yusuke Matsuura
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health
Toru Hachisuga
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health

Keywords: Laparoscopic myomectomy (LM), abdominal myomectomy (AM)

JOURNAL FREE ACCESS

2010 Volume 26 Issue 2 Pages 462-465

DOI https://doi.org/10.5180/jsgoe.26.462

Details

Abstract

Objective: We compared Laparoscopic Myomectomies (LM) with Abdominal Myomectomy (AM) for the operating time and the blood loss because of an assessment of the indications and limits of LM.
METHODS: We studied a retrospective analysis of 19 cases of LM and of 20 cases of AM in our hospital.
RESULT: When the maximum length of myomas were under 8cm, LM was equivalent to AM for the operating time and the blood loss. Furthermore, when the number of removed myomas were within 3, LM was also equivalent to AM for the blood loss.
CONCLUSION: When the maximum length of the myomas are under 8cm and the number of them to remove are within 3, we consider that it is possible to operate safely by LM as well as AM.

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