Adhesion formation after laparoscopic myomectomy.
OBJECTIVE
To determine the frequency of adhesion formation after myomectomy performed by operative laparoscopy or laparotomy.


METHODS
Case-control study. Setting. Academic women's hospital.


METHODS
Thirty-two premenopausal women scheduled for myomectomy by one of two techniques.


METHODS
Surgical removal of myomata.


RESULTS
Of the 32 women, 16 underwent laparotomy and 16 laparoscopy. Second-look laparoscopy was performed in 28 patients, at which time adhesions were lysed. Compared with laparotomy, laparoscopy resulted in adhesions in significantly fewer patients, and in significantly lower scores when adhesions were detected.


CONCLUSIONS
Laparoscopic removal of uterine myomata is associated with fewer adhesions than removal by laparotomy.
Bulletti
C
C
Unit of Special Pelvic Surgery, Operative Laparoscopy and Hysteroscopy, First Institute of Obstetrics and Gynecology, Via Massarenti 13, 40138 Bologna, Italy.
Polli
V
V
Negrini
V
V
Giacomucci
E
E
Flamigni
C
C
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D007813:Laparotomy; D007889:Leiomyoma / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D000267:Tissue Adhesions / Q000209:etiology; D014594:Uterine Neoplasms / Q000601:surgery*