Single-port laparoscopically assisted-transumbilical ultraminilaparotomic myomectomy (SPLA-TUM) versus single port laparoscopic myomectomy: a randomized controlled trial

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Jin-Sung YukJung Hun Lee

Abstract

To evaluate whether single-port laparoscopically assisted-transumbilical ultraminilaparotomic myomectomy (SPLA-TUM) has a shorter operating time than single port laparoscopic myomectomy (SP-LM), without negatively affecting postoperative pain and cosmesis. We performed a randomized controlled trial at a University teaching hospital. A total of 92 premenopausal women with symptomatic, superficial intramural or subserosal fibroids were randomized to receive either SPLA-TUM or SP-LM. The primary outcome measured was the operating time. The secondary outcome measures included postoperative pain, as measured by a visual analog scale (VAS) at 2, 6, 12, 24, and 48h after the operation, and cosmetic outcomes, as measured by the Vancouver scar scale (VSS) and patient satisfaction with the scars, using a VAS at 3 postoperative months. There were no differences in the patient demographics or in the clinical characteristics of the resected fibroids between the two groups. The operation results showed no differences in the hemoglobin changes, return of bowel activity, hospital stay, and complication rate between the groups. The mean operating time in the SPLA-TUM group was shorter than that in the SP-LM group (87.0±32.7min compared with 102...Continue Reading

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Citations

Jul 13, 2016·Best Practice & Research. Clinical Obstetrics & Gynaecology·Thibault ThubertCharles Chapron
Aug 20, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jin-Sung YukJung Hun Lee
Sep 27, 2018·Gynecology and Minimally Invasive Therapy·Kyoka AmemiyaYoshimitsu Yamamoto
Mar 25, 2020·Obstetrics & Gynecology Science·Mina KangChel Hun Choi
Dec 15, 2020·Surgical Endoscopy·Guixiu JinDanyang Zhu
Sep 19, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·A AmoahS D Quinn

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