title: Use of the LAP DISK (abdominal wall sealing device) in laparoscopically assisted myomectomy.
abstract: OBJECTIVE
  To evaluate the efficacy of an abdominal wall sealing device (the LAP DISK) used during laparoscopically assisted myomectomy (LAM).
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tottori University Hospital, Yonago, Japan.
  
  
  METHODS
  All 43 patients who underwent LAM using the LAP DISK.
  
  
  METHODS
  Ultrasonography and magnetic resonance imaging.
  
  
  METHODS
  Treatment strategy, operative outcome, and postoperative pregnancy rate.
  
  
  RESULTS
  Weight and size of the myomas removed ranged from 40-700 g (mean: 208.0 g) and 2-10 cm (mean: 5.4 cm). Mean blood loss was 42.3 mL. Half of the 18 patients who had been diagnosed with primary infertility for >2 years became pregnant without postoperative assisted reproductive techniques.
  
  
  CONCLUSIONS
  The LAP DISK, a useful device for LAM, allows surgeons to remove myomas safely and repair uterine defects effectively while minimizing blood loss and trauma.
authors.affiliation: Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan. tani4327@grape.med.tottori-u.ac.jp
authors.forename: Fuminori
authors.initials: F
authors.lastname: Taniguchi
authors.forename: Tasuku
authors.initials: T
authors.lastname: Harada
authors.forename: Tomio
authors.initials: T
authors.lastname: Iwabe
authors.forename: Souichi
authors.initials: S
authors.lastname: Yoshida
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mitsunari
authors.forename: Naoki
authors.initials: N
authors.lastname: Terakawa
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy / Q000295:instrumentation*; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*