Retrospective study of gasless abdominal wall-lifting laparoscopic myomectomy

Abstract

Objective: This study was designed to assess the feasibility of gasless abdominal wall-lifting laparoscopic myomectomy.
Methods: This retrospective study evaluated 183 patients without infertility who underwent gasless lifting laparoscopic myomectomy between April 1, 2005 and August 31, 2014. Data were extracted from patients' electronic health records and hospital charts.
Results: The mean age of the 183 patients was 37.9 ± 0.38 years. Mean surgery time was 135 ± 3.7 min, and mean intraoperative blood loss was 329.3 ± 41.4 g. Only eight patients (4.37%) required conversion to laparotomy. Almost all patients required 400–800 ml of autologous blood transfusion, but only four (2.18%) required additional transfusion.
Conclusion: Gasless lifting laparoscopic myomectomy is minimally invasive compared with abdominal myomectomy, and is associated with fewer complications than laparoscopic myomectomy with CO₂ gas.