Use of the LAP DISK (abdominal wall sealing device) in laparoscopically assisted myomectomy.
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.
Taniguchi
Fuminori
F
Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan. tani4327@grape.med.tottori-u.ac.jp
Harada
Tasuku
T
Iwabe
Tomio
T
Yoshida
Souichi
S
Mitsunari
Masahiro
M
Terakawa
Naoki
N
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*