title: Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy.
abstract: OBJECTIVE
  We sought to compare myomectomy performed by laparotomy (LT), and 2 other modified approaches: ultraminilaparotomy (UMLT) and laparoscopically assisted UMLT for uterine fibroids with a size <8 cm and the number <5.
  
  
  METHODS
  A cohort study, including 79 (35.3%) women in the LT group, 71 (31.7%) in the UMLT group, and 74 (33.0%) in the laparoscopically assisted UMLT group, was conducted. The outcome was measured by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes.
  
  
  RESULTS
  The median follow-up was 52 months with similar recurrence rates in the 3 groups. The modified approaches had advantages not only in the surgical parameters, but also in postoperative recovery, compared to LT (all P < .05).
  
  
  CONCLUSIONS
  UMLT and laparoscopically assisted UMLT can be used successfully in place of LT in the management of uterine fibroids.
authors.affiliation: Department of Obstetrics and Gynecology, Institute of Clinical Medicine, National Yang-Ming University School of Medicine, National Yang-Ming University Hospital, Ilan, Taiwan.
authors.forename: Kuo-Chang
authors.initials: KC
authors.lastname: Wen
authors.forename: Yi-Jen
authors.initials: YJ
authors.lastname: Chen
authors.forename: Pi-Lin
authors.initials: PL
authors.lastname: Sung
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000601:surgery*