Abstract
Objective: The aim of this study was to determine the indications for laparoscopic myomectomy (LM) that trainees are able to perform safely.
Methods: Seventy patients who underwent LM for solitary uterine myoma between 1995 and 2014 were included in this study. The patients were divided into two groups, namely the "LM by a qualified gynecologic laparoscopist" and "LM by trainee" groups. We analyzed the myoma diameter, operation time, amount of bleeding, the time between uterine incision and myomectomy, the time from myomectomy to the completion of the first suture, and the total myomectomy time.
Results: A correlation was found between myoma diameter, operation time, and amount of bleeding. The trainees performed LM with less than 200 mL of blood loss in the patients with myomas smaller than 7 cm in diameter, but the amount of bleeding often exceeded 500 mL when the myoma was bigger than 8 cm.
Conclusions: Trainees should undergo training for quick suturing after myomectomy and select cases with myomas smaller than 7 cm in diameter.
