[Clinical analysis of 45 cases of vaginal myomectomy].
OBJECTIVE
To evaluate the feasibility, clinical effect and safety of vaginal myomectomy.


METHODS
From January 2002 to April 2004, 45 cases treated by vaginal myomectomy were analyzed as the study group, and 45 cases treated by abdominal myomectomy during the same period in our hospital were selected as the control group. Effects of operation and recovery of two groups were compared.


RESULTS
There were no significant differences in the mean operating time, blood loss during operation between the study group, (76 +/- 21) minutes, (414 +/- 73) ml and the control group, (72 +/- 26) minutes, (404 +/- 68) ml. In the study group, the mean recovery time of bowel function (18 +/- 9) hours and average postoperative hospital stay (4.8 +/- 0.6) days were shorter than in the control group (31 +/- 8) hours, (7.8 +/- 0.4) days. For two groups menorrhagia were relieved after 6.8 months' follow-up, patients in the study group recovered more rapidly and felt more satisfactory with the effect of operation than patients in the control group.


CONCLUSIONS
Vaginal myomectomy can be performed in selected patients with minimum operative injury, low complications and good short-time effect compared with abdominal myomectomy.
Zhang
Jie
J
Qinhuangdao Maternal and Child Health Hospital, Qinhuangdao, Hebei Provice, China.
Huang
Li
L
Chen
Yan-hua
YH
Zhang
Ke-jun
KJ
Zhu
Li-chun
LC
Gao
Su-yan
SY
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*