title: Laparoscopic versus ultraminilaparotomic myomectomy for the treatment of large uterine myomas.
abstract: We compared short-term surgical outcomes of laparoscopic and ultraminilaparotomic procedures for the treatment of large uterine myomas in a retrospective matched-control study (Canadian Task Force classification II-2) of 32 women with large myomas who underwent laparoscopic myomectomy and 32 women who had ultraminilaparotomic myomectomy (< or =4 cm incision). Myomectomies were successfully performed for all women in both groups, but time to discharge was significantly lower after laparoscopic than after ultraminilaparotomic myomectomy (p = 0.01). Laparoscopic myomectomy seems to be the preferable approach for the treatment of large myomas of > or =5 cm, providing a more rapid recovery compared to the ultraminilaparotomic approach. Ultraminilaparotomy may be a valid alternative in case of laparoconversion instead of the classic laparotomy approach.
authors.affiliation: Department of Obstetrics and Gynecology, Politechnic University of Marche, Ancona, Italy. a.ciavattini@univpm.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Ciavattini
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Tsiroglou
authors.forename: Andrea Luigi
authors.initials: AL
authors.lastname: Tranquilli
authors.forename: Pietro
authors.initials: P
authors.lastname: Litta
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy / Q000379:methods; D007889:Leiomyoma / Q000601:surgery*; D016555:Matched-Pair Analysis; D017060:Patient Satisfaction; D011788:Quality of Life; D013536:Suture Techniques; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*