title: Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision.
abstract: OBJECTIVE
  The aim of this study was to analyze the perioperative outcomes of laparotomy with conventional midline incision and minilaparotomy in patients with large myomas, in a prospective and randomized manner.
  
  
  METHODS
  From January 2005 to January 2009, 205 consecutive hysterectomies for large symptomatic myomas had been performed by abdominal approach. Patients were randomly assigned to minilaparotomy or midline incision.
  
  
  RESULTS
  Groups were compared and found to be similar in terms of age, gravida, parity, body mass index, uterine size, operative time and intraoperative hemorrhage volume. Length of hospital stay, rate of surgical site infection and postoperative fever were significantly higher in the conventional laparotomy group with midline incision.
  
  
  CONCLUSIONS
  Minilaparotomy is an applicable procedure in hysterectomy for large myomas in the majority of women, resulting in decreased length of hospital stay and complication rates.
authors.affiliation: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey.
authors.forename: Tuncay
authors.initials: T
authors.lastname: Küçüközkan
authors.forename: Enis
authors.initials: E
authors.lastname: Özkaya
authors.forename: Fatma Özlem
authors.initials: FÖ
authors.lastname: Uçar
authors.forename: Osman Fadıl
authors.initials: OF
authors.lastname: Kara
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D007902:Length of Stay; D008875:Middle Aged; D009214:Myoma / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D013997:Time Factors; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*