title: Efficacy and safety of bipolar electrode grasping forceps for laparoscopic myomectomy in uterine cervical myoma.
abstract: BACKGROUND
  Myomectomy for cervical myoma is problematic because cervical myomas are very close to neighboring structures, such as the ureters, uterine artery, bladder and rectum. There are a few reports on laparoscopic myomectomy for cervical myomas to avoid blood loss, such as occlusion of iliac arteries and clipping of the uterine artery. We evaluated the efficacy and safety of bipolar electrode grasping forceps for laparoscopic myomectomy in uterine cervical myoma.
  
  
  METHODS
  From November 2006 to May 2009, eight women with uterine cervical myoma underwent laparoscopic myomectomy. We employed electrode grasping forceps with a combination of two tenaculums for separating and securing hemostatsis.
  
  
  RESULTS
  Seven of eight cases were successfully treated by laparoscopic myomectomy, but one patient, with a large 900-g myoma was converted to the laparotomy as a result of blood loss (1800 mL). Among the other seven cases, the average weight of the myoma was 132 g (range, 16-310 g) and the operating time was 176 min. (range, 125-255 min). No complications occurred. Of the four cases who wanted to become pregnant postoperatively, two became pregnant and delivered by Caesarean section.
  
  
  CONCLUSIONS
  These findings indicate that bipolar electrode grasping forceps using two tenaculums for traction of the myoma are useful for laparoscopic myomectomy in cervical myomas.
authors: Department of Obstetrics and Gynecology, Osaka Medical College, Osaka, Japan.
authors: Y
authors: Y
authors: Higuchi
authors: K
authors: K
authors: Okuda
authors: Y
authors: Y
authors: Nakamura
authors: A
authors: A
authors: Hayashi
authors: M
authors: M
authors: Hayashi
authors: F
authors: F
authors: Fujiyama
authors: Y
authors: Y
authors: Yoshida
authors: Y
authors: Y
authors: Yamashita
authors: Y
authors: Y
authors: Terai
authors: H
authors: H
authors: Kamegai
authors: M
authors: M
authors: Ohmichi
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D017115:Catheter Ablation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D009214:Myoma / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*