title: Laparoscopic Myomectomy Using "Cold" Surgical Instruments for Uterine Corpus Leiomyoma: A Preliminary Report.
abstract: To assess the feasibility and safety of laparoscopic myomectomy without coagulation for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2-5. A total of 109 patients with uterine corpus myoma, single or multiple, between 4 and 9 cm in diameter with types from 2 to 5 were included who underwent laparoscopic myomectomy without using any unipolar or bipolar coagulation. Surgery time, intraoperative blood loss, hemoglobin decline on the first day after surgery and average days of post-operative hospitalization were recorded. The mean operative time was 70 ± 25 min (range 35-140 min). Mean blood loss during operation was 138 ml (range 20-400 ml), mean hemoglobin decline on the first day after surgery was 1.5 ± 0.75 g/dl (range 0-3.2 g/dl), and mean hospitalization time was 3.2 days (range 2-6 days). No patient required a blood transfusion. There were no major post-operative complications. Laparoscopic myomectomy without coagulation is feasible and safe for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2-5.
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Zeng
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
authors.forename: Liyou
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
authors.forename: Lifeng
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
authors.forename: Weijie
authors.initials: W
authors.lastname: Du
authors.affiliation: Department of Gynecology, The First Affiliated Hospital of Wenzhou Medical University, Shangcai Village South, Ouhai District, Wenzhou, 325000, China. zjsrmyyfk@163.com.
authors.forename: Xiaojian
authors.initials: X
authors.lastname: Yan
mesh_terms: D000328:Adult; D001777:Blood Coagulation; D016063:Blood Loss, Surgical; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control; D011184:Postoperative Period; D012189:Retrospective Studies; D013525:Surgical Instruments; D063186:Uterine Myomectomy / Q000295:instrumentation* / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000601:surgery*
chemical_list: D006454:Hemoglobins
keywords: Cold knife; Laparoscopic myomectomy; Uterine corpus leiomyoma