title: Laparoscopic myomectomy: clinical outcomes and comparative evidence.
abstract: Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence, risk of uterine rupture in future pregnancies, and potential dissemination of cells with use of morcellation. This review outlines techniques for performance of laparoscopic myomectomy and critically appraises the available evidence for operative data, short-term and long-term complications, and reproductive outcomes.
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia. Electronic address: victoria.buckley@sesiahs.health.nsw.gov.au.
authors.forename: Victoria A
authors.initials: VA
authors.lastname: Buckley
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Nesbitt-Hawes
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Atkinson
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Ha Ryun
authors.initials: HR
authors.lastname: Won
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Deans
authors.affiliation: Royal Hospital for Women, Randwick, Australia.
authors.forename: Alice
authors.initials: A
authors.lastname: Burton
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Lyons
authors.affiliation: University of New South Wales, Sydney, Australia; Royal Hospital for Women, Randwick, Australia.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Abbott
mesh_terms: D057186:Comparative Effectiveness Research; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery
keywords: Complications of myomectomy; Laparoscopic myomectomy; Myomectomy