Laparoscopic-assisted vaginal myomectomy through an anterior approach

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Hung-Yen ChinYung-Kuei Soong

Abstract

To evaluate the safety and efficacy of a combined laparoscopic and vaginal approach through the anterior cul-de-sac in dealing with fundal and/or anterior wall uterine myomata. Seven women with symptomatic fundal and/or anterior wall uterine myomata were enrolled in this study. After laparoscopic identification of the location of the myomata, a guiding suture brought the dominant myoma down through the anterior cul-de-sac into the vagina via an anterior colpotomy. Resection and suturing were then performed transvaginally. Mean +/- standard deviation (SD) operative time, blood loss, and the length of hospital stay were 88.1 +/- 27.8 minutes, 278.6 +/- 131.8 mL, and 2.9 +/- 0.7 days, respectively. No patients developed serious complications, and only four transient macroscopic hematuria occurred intra- and postoperatively. Although transient hematuria may occur, a combined laparoscopy and vaginal approach in dealing with fundal and/or anterior wall uterine fibroids through the anterior cul-de-sac is an alternative to pure laparoscopic myomectomy.

References

Dec 1, 1994·British Journal of Obstetrics and Gynaecology·A L MagosH O'Connor
Feb 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·M A Pelosi, M A Pelosi
Nov 5, 1997·Annals of the New York Academy of Sciences·J B DubuissonA Fauconnier
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May 7, 1999·Fertility and Sterility·A DaviesA L Magos
Oct 25, 2000·The Journal of the American Association of Gynecologic Laparoscopists·C J WangY K Soong

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Citations

Jan 5, 2010·Taiwanese Journal of Obstetrics & Gynecology·Chyi-Long Lee, Chin-Jung Wang
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chin-Jung WangYung-Kuei Soong
Sep 1, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chin-Jung WangYung-Kuei Soong
Sep 23, 2008·Gynécologie, obstétrique & fertilité·M CarbonnelP Madelenat

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