Vaginal myomectomy is a safe and feasible procedure: a retrospective study of 46 cases

The Journal of Obstetrics and Gynaecology Research
Riccardo RolliSandro Gerli

Abstract

The aim of this study was to establish the feasibility and safety of vaginal myomectomy via posterior colpotomy in a series of consecutive procedures performed by one surgeon. We conducted a retrospective study in a tertiary care university hospital, involving 46 patients with symptomatic myomas and uteruses smaller than 16 gestational weeks and with no signs of pelvic disease. After a presurgical study, the patients underwent vaginal myomectomy. Characteristics of patients, position and size of myomas, operative data, intraoperative and postoperative complications, and length of hospital stay were recorded. Forty-four women underwent vaginal myomectomy and conversion to laparotomy was required in two cases (4.3%). Two patients suffered from infertility and one of these achieved pregnancy after the procedure. The median size of myomas was 50 mm (range 16-81). In two cases a culdoscopy was performed with a flexible fiberoptic gastroscope to better evaluate size and localization of myomas. Thirty-two patients underwent vaginal myomectomy under general anesthesia and 12 under locoregional anesthesia. The median vaginal operating time was 70 min (range 30-120). The estimated hemoglobin loss was 0.70 g/dL (range 0.40-3.35 g/dL). No ...Continue Reading

References

Oct 1, 1981·Fertility and Sterility·V C Buttram, R C Reiter
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
Dec 16, 1997·Obstetrics and Gynecology·L M MarshallD J Hunter
May 7, 1999·Fertility and Sterility·A DaviesA L Magos
Aug 23, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Anca BirsanEmile Daraï
Sep 11, 2004·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Aubert AgostiniBernard Blanc
Oct 7, 2005·Archives of Gynecology and Obstetrics·Päivi H Rovio, Pentti K Heinonen
Sep 19, 2007·Archives of Surgery·Jacques MarescauxDimitri Coumaros
Mar 4, 2008·Journal of Minimally Invasive Gynecology·Giovanni PlottiGiuseppe Nagar
Nov 21, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Michael StarkTahar Benhidjeb
Feb 5, 2010·Journal of Minimally Invasive Gynecology·M CamanniF Deltetto
Mar 17, 2010·Journal of Minimally Invasive Gynecology·Erika FaivreHervé Fernandez
Jan 22, 2011·Obstetrics and Gynecology·Ehab E BarakatTommaso Falcone
Jan 29, 2011·The Journal of Obstetrics and Gynaecology Research·Kuo-Chang WenPeng-Hui Wang

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