Abdominal myomectomy as a treatment for symptomatic uterine fibroids.
Using the previously described approach, I find abdominal myomectomy in general to be a procedure quite comparable with other major pelvic procedures, such as hysterectomy. My postoperative course is associated with a 12% complication rate, the majority of which represents transient febrile morbidity, which resolves quite promptly. In addition, my transfusion rate is 3% or less and my postoperative length of stay is 2 to 3 days. This is consistent with other currently reported series and in my estimation justifies the continued philosophy of offering abdominal myomectomy as a primary treatment for symptomatic uterine fibroids regardless of future childbearing options.
Hutchins
F L
FL
Department of Gynecology, Graduate Hospital, Philadelphia, Pennsylvania, USA.
D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006176:Gynecology / Q000379:methods; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D014594:Uterine Neoplasms / Q000601:surgery*