Abstract
Introduction: Recently, the electric morcellator has become commonly employed during a laparoscopic myomectomy (LM). However, reports of the complication of parasitic myomas have also increased. We compared two different LM extraction methods to evaluate their applicability.
Methods: A retrospective study was conducted on 18 women who underwent LM at our hospital from August 2012 through April 2013. We conducted a statistical analysis between the two groups: culdotomy group (n = 8) and morcellator group (n = 10). The differences were statistically significant (P < 0.05).
Results: No significant difference in surgery time, blood, or number of enucleated myomas was found between the two groups. Compared to the morcellator group, the patient age of the culdotomy group was significantly younger (38 vs. 41.5 years; P = 0.016), tumor gross weight of the culdotomy group was less (162 g vs. 340 g; P = 0.011), and the tumor maximum diameter of the culdotomy group was less (61mm vs. 90 mm; P = 0.001). The cutoff value in the ROC curve showed that the tendency to use the morcellator increased for myomas ≥ 7cm.
Conclusion: It is important to evaluate the distensibility of the vaginal wall and maximum tumor diameter prior to laparoscopic myomectomy in order to select the most appropriate method for myoma extraction.
