title: Laparoscopic-assisted vaginal myomectomy.
abstract: OBJECTIVE
  To evaluate the safety and efficacy of combined laparoscopic and vaginal approach in dealing with uterine myomas.
  
  
  METHODS
  Retrospective case study (Canadian Task Force classification II-2).
  
  
  METHODS
  Tertiary care major teaching hospital.
  
  
  METHODS
  Thirty-one women with symptomatic fundal and/or posterior wall uterine myomas.
  
  
  METHODS
  Laparoscopic-assisted vaginal myomectomy performed by one of the authors from July 1996 to December 1998.
  
  
  RESULTS
  Mean +/- SD operating time, blood loss, and length of hospital stay were 79.19+/-18.31 minutes, 150.00+/- 103.28 ml, and 3.10+/-0.75 days, respectively. No patients developed serious complications, and only two minor complications occurred.
  
  
  CONCLUSIONS
  After laparoscopic inspection and location of uterine myomas, dealing with posterior and fundal uterine myomas by the vaginal route makes hemostasis and uterine repair easier than by purely laparoscopic approach.
authors.affiliation: Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan Tao-Yuan, Taiwan.
authors.forename: C J
authors.initials: CJ
authors.lastname: Wang
authors.forename: C F
authors.initials: CF
authors.lastname: Yen
authors.forename: C L
authors.initials: CL
authors.lastname: Lee
authors.forename: Y K
authors.initials: YK
authors.lastname: Soong
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D013624:Taiwan; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014621:Vagina