New tool (Laparotenser) for gasless laparoscopic myomectomy: a multicenter-controlled study.
OBJECTIVE
To assess feasibility and safety of a new surgical instrument-Laparotenser-in the procedure of gasless laparoscopic myomectomy.


METHODS
Multicenter controlled study.


METHODS
Academic departments of obstetrics and gynecology, Italy.


METHODS
Thirty patients scheduled for gasless laparoscopic myomectomy (experimental group) and another group of 30 patients from our historical records that have undergone traditional laparoscopic myomectomy, matched with the cases for number of fibroids and for size of the main fibroid (control group).


METHODS
Gasless laparoscopic myomectomy using Laparotenser.


METHODS
Surgical data.


RESULTS
No significant differences in total operative time, postoperative ileus, hospitalization, time to return to full activity/work, and complication rates were observed between groups. Intraoperative blood loss, hemoglobin level, and surgical difficulty were significantly higher in the experimental than in the control group. Postoperative pain and number of analgesic vials used were significantly lower in the experimental group than in the control group.


CONCLUSIONS
Although performed during the learning curve period, the use of the Laparotenser instrument in gasless laparoscopic myomectomy is a safe procedure.
Palomba
Stefano
S
Department of Obstetrics & Gynecology, University Magna Graecia, Catanzaro, Italy. stefanopalomba@tin.it
Zupi
Errico
E
Falbo
Angela
A
Russo
Tiziana
T
Marconi
Daniela
D
Zullo
Fulvio
F
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation* / Q000379:methods*; D007432:Intraoperative Period; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery*; D007902:Length of Stay; D008954:Models, Biological; D011183:Postoperative Complications / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery*; D055815:Young Adult