title: Laparoscopy vs minilaparotomy in women with symptomatic uterine myomas: a prospective randomized study.
abstract: OBJECTIVE
  To compare outcomes in patients with symptomatic uterine myomas who underwent laparoscopic (LPS) or minilaparotomic (MLPT) myomectomy.
  
  
  METHODS
  Prospective randomized study (Canadian Task Force classification II-2).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Eighty patients with no more than 3 uterine myomas of maximal diameter of 7 cm.
  
  
  METHODS
  Either LPS or MLPT myomectomy.
  
  
  RESULTS
  Mean blood loss, mean duration of postoperative ileus, and mean decrease in hemoglobin were significantly lower in the LPS compared with the MLPT group (p < .001). Mean operative time was not significantly longer in the LPS group compared with the MLPT group. Duration of hospitalization was significantly shorter in the LPS compared with the MLPT group (p < .001). No intraoperative complications were observed during MLPT. In 1 patient, conversion from LPS to MLPT was necessary because of difficulty in reconstructing the uterine wall.
  
  
  CONCLUSIONS
  Laparoscopic myomectomy is a suitable alternative to MLPT in women with 1 to 3 myomas. However, preoperative careful evaluation of the size and sites of the myomas is necessary to avert conversion and prevent complications.
authors: Department of Obstetrics and Gynecology, University of Bari Medical School, Bari, Italy.
authors: Ettore
authors: E
authors: Cicinelli
authors: Raffaele
authors: R
authors: Tinelli
authors: Giuseppe
authors: G
authors: Colafiglio
authors: Nicola
authors: N
authors: Saliani
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D018231:Leiomyomatosis / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*