Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas

Journal of Minimally Invasive Gynecology
Franco AlessandriNicola Ragni

Abstract

To compare the postoperative recovery of patients undergoing laparoscopic and minilaparotomic myomectomy. Randomized study (Canadian Task Force classification I). University hospital. One hundred forty-eight women requiring surgical myomectomy. Myomectomy by minilaparotomy or laparoscopy. Operation time was significantly lower in the minilaparotomy group (p < .001). When compared with minilaparotomy, laparoscopy was associated with a lower decline of hemoglobin concentration (p <.001), a reduced length of postoperative ileus (p < .001), and a shorter time to discharge (p <.001). Pain intensity at 6 hours after surgery was significantly lower in the laparoscopy group (p <.001); also, patients who underwent laparoscopy requested analgesics less frequently in the first 48 hours after the operation (p < .001). Patients included in the laparoscopy group were fully recuperated on postoperative day 15 more frequently than those included in the minilaparotomy group (p = .012). No complications were observed in the minilaparotomy group. There were two complications in the laparoscopy group (one laparoconversion caused by difficulties of hemostasis and one acute diffuse peritonitis caused by ileal perforation). Laparoscopic and minilapar...Continue Reading

References

Mar 1, 1996·Obstetrics and Gynecology·P Benedetti-PaniciS Mancuso
Aug 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·N H StringerP M Meyer
Jun 20, 2001·The British Journal of Surgery·T NakagoeH Ayabe
Jul 15, 2003·Current Opinion in Obstetrics & Gynecology·Charles Koh, Grace Janik
Jan 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Rakesh SinhaNandita Patil
May 28, 2004·Seminars in Reproductive Medicine·Arnold P Advincula, Arleen Song
Jan 18, 2005·Fertility and Sterility·Bradley S HurstPaul B Marshburn

❮ Previous
Next ❯

Citations

Aug 6, 2009·Archives of Gynecology and Obstetrics·Ioannis KalogiannidisYannis Prapas
Aug 4, 2010·Archives of Gynecology and Obstetrics·Andreas N SchüringCordula Schippert
Sep 30, 2010·Archives of Gynecology and Obstetrics·Tuncay KüçüközkanOsman Fadıl Kara
May 2, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yong-Soon KwonKyong Shil Im
Sep 6, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yong-Soon KwonKyong Shil Im
Nov 4, 2006·Clinical Obstetrics and Gynecology·Malcolm G Munro
Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Edgardo SomiglianaLuigi Fedele
Jan 5, 2011·Journal of Minimal Access Surgery·Tiffany R Jackson, Jon I Einarsson
Jan 29, 2014·Journal of Minimally Invasive Gynecology·Misa Perron-BurdickEve Zaritsky
Dec 1, 2010·Journal of Robotic Surgery·Roopina SanghaGanesa Wegienka
May 5, 2012·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Francesco SestiEmilio Piccione
Nov 5, 2014·Current Medical Research and Opinion·Sukhbir Sony Singh, Liane Belland
Apr 9, 2013·Journal of Minimally Invasive Gynecology·Shane T Lipskind, Antonio R Gargiulo
Jun 5, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jia WuRu-Xia Shi
Mar 27, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marc P RadosaIngo B Runnebaum
Nov 22, 2011·Journal of Minimally Invasive Gynecology·Millie A BeheraJennifer M Wu
Nov 8, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·G GiraudetM Cosson
Feb 14, 2015·Taiwanese Journal of Obstetrics & Gynecology·Hsin-Yi ChengKuan-Chong Chao
Aug 3, 2010·Journal of Minimally Invasive Gynecology·Franco AlessandriSimone Ferrero
Aug 6, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jung Hun LeeYong Seung Lee
Jun 26, 2010·Journal of Minimally Invasive Gynecology·Yong-Wook KimTae-Eung Kim
Mar 17, 2010·Journal of Minimally Invasive Gynecology·Fulvio ZulloStefano Palomba
Nov 10, 2009·Journal of Minimally Invasive Gynecology·Amy GeorgeGanesa Wegienka
Jul 4, 2009·Journal of Minimally Invasive Gynecology·Ettore CicinelliNicola Saliani
Aug 2, 2007·Obstetrics and Gynecology·Pierluigi Benedetti PaniciLudovico Muzii
May 3, 2013·Obstetrics and Gynecology·Tommaso Falcone, William H Parker
Dec 7, 2007·Obstetrics and Gynecology·Federico DiscepolaTogas Tulandi
Apr 29, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Chu JinHang-zhi Gu
Apr 29, 2008·Journal of Minimally Invasive Gynecology·Rakesh SinhaMeenakshi Sundaram
Mar 4, 2008·Journal of Minimally Invasive Gynecology·Giovanni PlottiGiuseppe Nagar
Jun 23, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·Nadia C Samuel, T Justin Clark
May 5, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·Sharifa Al-Mahrizi, Togas Tulandi
Jan 29, 2011·The Journal of Obstetrics and Gynaecology Research·Kuo-Chang WenPeng-Hui Wang
May 23, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Raffaele TinelliEttore Cicinelli
Sep 21, 2013·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Andrea TinelliThoralf Schollmeyer
Mar 17, 2015·American Journal of Obstetrics and Gynecology·Ahmed M SolimanCraig Winkel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.