title: Application of simultaneous morcellation in situ in laparoscopic myomectomy of larger uterine leiomyomas.
abstract: OBJECTIVE
  To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by 'simultaneous morcellation in situ' (SMI) in laparoscopic myomectomy (LM).
  
  
  METHODS
  Twenty-six patients with leiomyomas >9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed.
  
  
  RESULTS
  The average operating time was 106.4 ± 38.5 min (range 50-175 min). The average blood loss was 278.2 ± 164.6 ml (range 50-800 ml). There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 ± 0.2 days (range 5-7 days).
  
  
  CONCLUSIONS
  Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas (>9 cm) during LM.
authors.affiliation: Department of Gynecology, Qilu Hospital of Shandong University, Jinan, China.
authors.forename: Peihai
authors.initials: P
authors.lastname: Zhang
authors.forename: Kun
authors.initials: K
authors.lastname: Song
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Kazunori
authors.initials: K
authors.lastname: Yukuwa
authors.forename: Beihua
authors.initials: B
authors.lastname: Kong
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D009215:Myometrium / Q000601:surgery*; D013997:Time Factors; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D055815:Young Adult