title: Adhesion formation after laparoscopic myomectomy.
abstract: 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.
authors.affiliation: Unit of Special Pelvic Surgery, Operative Laparoscopy and Hysteroscopy, First Institute of Obstetrics and Gynecology, Via Massarenti 13, 40138 Bologna, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Bulletti
authors.forename: V
authors.initials: V
authors.lastname: Polli
authors.forename: V
authors.initials: V
authors.lastname: Negrini
authors.forename: E
authors.initials: E
authors.lastname: Giacomucci
authors.forename: C
authors.initials: C
authors.lastname: Flamigni
mesh_terms: 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*