title: Minilaparoscopic myomectomy: a mini-invasive technical variant.
abstract: OBJECTIVE
  We propose a mini-invasive technical variant for laparoscopic myomectomy, which is currently less invasive and more feasible.
  
  
  METHODS
  This was a prospective, controlled, randomized trial, involving 170 patients, who underwent laparoscopic myomectomy. Patients were randomized into two groups: Group A (n=98) underwent standard laparoscopic myomectomy, and Group B (n=72) underwent the mini-invasive technique. The current mini-invasive variant is performed with a 10-mm umbilical trocar and only two 5-mm ancillary trocars. Morcellation is transumbilical: a 0° 5-mm optical system is used and is inserted either in the left or in the right iliac trocar according to the surgeon's preference.
  
  
  RESULTS
  The degree of surgical difficulty, evaluated using a visual analog scale (VAS), was similar in the two groups (P=nonsignificant). Postoperative pain measured on a VAS scale showed there was less pain experienced in patients in Group B than in Group A (P<.01). Esthetic results measured on a VAS scale showed a higher compliance for patients in Group B than Group A (P<.01).
  
  
  CONCLUSIONS
  The mini-invasive laparoscopic myomectomy described is, in our opinion, currently less invasive and more feasible than techniques usually used. Finally, this technique is a valid approach for the surgeon, and it gives women very acceptable aesthetic results.
authors.affiliation: 1 Operative Unit of Obstetrics and Gynaecology, Highly Specialized National Hospital "San Giuseppe Moscati," Avellino, Italy .
authors.forename: Mario
authors.initials: M
authors.lastname: Ardovino
authors.forename: Italo
authors.initials: I
authors.lastname: Ardovino
authors.forename: Maria Antonietta
authors.initials: MA
authors.lastname: Castaldi
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Trabucco
authors.forename: Nicola
authors.initials: N
authors.lastname: Colacurci
authors.forename: Luigi
authors.initials: L
authors.lastname: Cobellis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology*; D017060:Patient Satisfaction; D011446:Prospective Studies; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*