Laparoscopy vs minilaparotomy in women with symptomatic uterine myomas: a prospective randomized study.
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.
Cicinelli
Ettore
E
Department of Obstetrics and Gynecology, University of Bari Medical School, Bari, Italy.
Tinelli
Raffaele
R
Colafiglio
Giuseppe
G
Saliani
Nicola
N
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*