Laparoscopic-assisted vaginal myomectomy through an anterior approach.

Abstract

BACKGROUND:

To evaluate the safety and efficacy of a combined laparoscopic and vaginal approach through the anterior cul-de-sac in dealing with fundal and/or anterior wall uterine myomata.

PATIENTS AND METHODS:

Seven women with symptomatic fundal and/or anterior wall uterine myomata were enrolled in this study. After laparoscopic identification of the location of the myomata, a guiding suture brought the dominant myoma down through the anterior cul-de-sac into the vagina via an anterior colpotomy. Resection and suturing were then performed transvaginally.

RESULTS:

Mean +/- standard deviation (SD) operative time, blood loss, and the length of hospital stay were 88.1 +/- 27.8 minutes, 278.6 +/- 131.8 mL, and 2.9 +/- 0.7 days, respectively. No patients developed serious complications, and only four transient macroscopic hematuria occurred intra- and postoperatively.

CONCLUSION:

Although transient hematuria may occur, a combined laparoscopy and vaginal approach in dealing with fundal and/or anterior wall uterine fibroids through the anterior cul-de-sac is an alternative to pure laparoscopic myomectomy.

• Authors: Hung-Yen Chin, Chyi-Long Lee, Chih-Feng Yen, Chin-Jung Wang, Yung-Kuei Soong
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 14 Issue 3 Pg. 135-8 (Jun 2004) ISSN: 1092-6429 [Print] United States
• PMID: 15245664 (Publication Type: Journal Article)

Topics

• Adult
• Female
• Humans
• Laparoscopy (methods)
• Leiomyoma (surgery)
• Middle Aged
• Uterine Neoplasms (surgery)
• Vagina