Uterine myomectomy: role of gasless laparoscopy in comparison with other minimally invasive approaches

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Francesco SestiEmilio Piccione

Abstract

The aim of this review was to assess the role of gasless laparoscopy (GLM) in comparison with two other minimally invasive approaches to myomectomy, CO(2) laparoscopy (LM) and minilaparotomy (MM), focusing on the most recent randomized or prospective controlled studies. A computerized search was made of the Medline, Science Citation Index, Current Contents, Embase, and PubMed databases for English language publications from the first reports of GLM, LM, and MM in 1995 to 2010. The fifteen most recent randomized or prospective controlled studies were selected and analyzed considering the operative and postoperative parameters. One randomized controlled, one multicenter controlled, three prospective studies about GLM, four randomized controlled studies and one prospective study about LM, four randomized controlled trials and one prospective study about MM were reviewed and analyzed. GLM offers some advantages eliminating the adverse effects and potential risks of CO(2) insufflation, particularly when large myomas have to be removed. The advantages of LM are the tamponade effect generated by the gas on the small vessels and the more precise myoma enucleation by using the endoscopic instruments, thus reducing intraoperative bleedin...Continue Reading

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Citations

Oct 14, 2014·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Dongbo WuShengfu Yang
Dec 18, 2013·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Friederike HoellenMichael K Bohlmann
Jul 20, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Alejandro Marín-BuckBenito Chiofalo
Aug 14, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jong Ha Hwang, Bo Wook Kim

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