Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically

Chin Jung Wang, Jiah Min Lee, Hsing Tse Yu, Chen Ying Huang, Hung Yen Chin, Shih Ming Wang

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Objective To define a rational guideline for the removal of uterine fibroids after laparoscopic myomectomy (LM) by culdotomy or morcellator in multiparae. Study design A total of 416 multiparae receiving LM were retrospectively studied between November 1997 and January 2014. Of these, 335 had fibroids removed by culdotomy and 81 by a laparoscopic 15 mm electromechanical morcellator. Data on parity, number, size and weight of fibroids, operating time, specimen removal time, blood loss, postoperative stay, hospital charges and complications were recorded. The patients were analyzed in four subgroups stratified by main fibroid size and type of procedure. Results There was no significant difference in body mass index, number of fibroids removed, blood loss, complications, and hospitalization duration between the groups. For fibroids below 10 cm, the morcellator was significantly faster compared to culdotomy (10 min versus 12 min, p < 0.001). For fibroids 10 cm and above, there was no significant difference in time by culdotomy compared to morcellator (24 min versus 20 min, p = 0.497). The electromechanical morcellator was significantly more expensive. Conclusion Fibroid size of 10 cm may be used as a guide for the route of fibroid removal; below 10 cm the morcellator is faster but more expensive, for fibroids 10 cm and above, culdotomy can be considered as it has a similar removal time to the morcellator in multiparae.

Original languageEnglish
Pages (from-to)183-187
Number of pages5
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume183
DOIs
Publication statusPublished - Jan 1 2014

Fingerprint

Leiomyoma
Uterine Myomectomy
Hospital Charges
Postoperative Hemorrhage
Parity
Hospitalization
Body Mass Index
Guidelines
Weights and Measures

Keywords

  • Culdotomy
  • Laparoscopy
  • Morcellator
  • Multipara
  • Myomectomy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically. / Wang, Chin Jung; Lee, Jiah Min; Yu, Hsing Tse; Huang, Chen Ying; Chin, Hung Yen; Wang, Shih Ming.

In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 183, 01.01.2014, p. 183-187.

Research output: Contribution to journalReview article

Wang, Chin Jung ; Lee, Jiah Min ; Yu, Hsing Tse ; Huang, Chen Ying ; Chin, Hung Yen ; Wang, Shih Ming. / Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically. In: European Journal of Obstetrics Gynecology and Reproductive Biology. 2014 ; Vol. 183. pp. 183-187.
@article{f4ecb23b4b384408b2c9fb56d49f1624,
title = "Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically",
abstract = "Objective To define a rational guideline for the removal of uterine fibroids after laparoscopic myomectomy (LM) by culdotomy or morcellator in multiparae. Study design A total of 416 multiparae receiving LM were retrospectively studied between November 1997 and January 2014. Of these, 335 had fibroids removed by culdotomy and 81 by a laparoscopic 15 mm electromechanical morcellator. Data on parity, number, size and weight of fibroids, operating time, specimen removal time, blood loss, postoperative stay, hospital charges and complications were recorded. The patients were analyzed in four subgroups stratified by main fibroid size and type of procedure. Results There was no significant difference in body mass index, number of fibroids removed, blood loss, complications, and hospitalization duration between the groups. For fibroids below 10 cm, the morcellator was significantly faster compared to culdotomy (10 min versus 12 min, p < 0.001). For fibroids 10 cm and above, there was no significant difference in time by culdotomy compared to morcellator (24 min versus 20 min, p = 0.497). The electromechanical morcellator was significantly more expensive. Conclusion Fibroid size of 10 cm may be used as a guide for the route of fibroid removal; below 10 cm the morcellator is faster but more expensive, for fibroids 10 cm and above, culdotomy can be considered as it has a similar removal time to the morcellator in multiparae.",
keywords = "Culdotomy, Laparoscopy, Morcellator, Multipara, Myomectomy, Culdotomy, Laparoscopy, Morcellator, Multipara, Myomectomy",
author = "Wang, {Chin Jung} and Lee, {Jiah Min} and Yu, {Hsing Tse} and Huang, {Chen Ying} and Chin, {Hung Yen} and Wang, {Shih Ming}",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.ejogrb.2014.10.035",
language = "English",
volume = "183",
pages = "183--187",
journal = "European Journal of Obstetrics and Gynecology and Reproductive Biology",
issn = "0028-2243",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Comparison of morcellator and culdotomy for extraction of uterine fibroids laparoscopically

AU - Wang, Chin Jung

AU - Lee, Jiah Min

AU - Yu, Hsing Tse

AU - Huang, Chen Ying

AU - Chin, Hung Yen

AU - Wang, Shih Ming

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective To define a rational guideline for the removal of uterine fibroids after laparoscopic myomectomy (LM) by culdotomy or morcellator in multiparae. Study design A total of 416 multiparae receiving LM were retrospectively studied between November 1997 and January 2014. Of these, 335 had fibroids removed by culdotomy and 81 by a laparoscopic 15 mm electromechanical morcellator. Data on parity, number, size and weight of fibroids, operating time, specimen removal time, blood loss, postoperative stay, hospital charges and complications were recorded. The patients were analyzed in four subgroups stratified by main fibroid size and type of procedure. Results There was no significant difference in body mass index, number of fibroids removed, blood loss, complications, and hospitalization duration between the groups. For fibroids below 10 cm, the morcellator was significantly faster compared to culdotomy (10 min versus 12 min, p < 0.001). For fibroids 10 cm and above, there was no significant difference in time by culdotomy compared to morcellator (24 min versus 20 min, p = 0.497). The electromechanical morcellator was significantly more expensive. Conclusion Fibroid size of 10 cm may be used as a guide for the route of fibroid removal; below 10 cm the morcellator is faster but more expensive, for fibroids 10 cm and above, culdotomy can be considered as it has a similar removal time to the morcellator in multiparae.

AB - Objective To define a rational guideline for the removal of uterine fibroids after laparoscopic myomectomy (LM) by culdotomy or morcellator in multiparae. Study design A total of 416 multiparae receiving LM were retrospectively studied between November 1997 and January 2014. Of these, 335 had fibroids removed by culdotomy and 81 by a laparoscopic 15 mm electromechanical morcellator. Data on parity, number, size and weight of fibroids, operating time, specimen removal time, blood loss, postoperative stay, hospital charges and complications were recorded. The patients were analyzed in four subgroups stratified by main fibroid size and type of procedure. Results There was no significant difference in body mass index, number of fibroids removed, blood loss, complications, and hospitalization duration between the groups. For fibroids below 10 cm, the morcellator was significantly faster compared to culdotomy (10 min versus 12 min, p < 0.001). For fibroids 10 cm and above, there was no significant difference in time by culdotomy compared to morcellator (24 min versus 20 min, p = 0.497). The electromechanical morcellator was significantly more expensive. Conclusion Fibroid size of 10 cm may be used as a guide for the route of fibroid removal; below 10 cm the morcellator is faster but more expensive, for fibroids 10 cm and above, culdotomy can be considered as it has a similar removal time to the morcellator in multiparae.

KW - Culdotomy

KW - Laparoscopy

KW - Morcellator

KW - Multipara

KW - Myomectomy

KW - Culdotomy

KW - Laparoscopy

KW - Morcellator

KW - Multipara

KW - Myomectomy

UR - http://www.scopus.com/inward/record.url?scp=84920694693&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920694693&partnerID=8YFLogxK

U2 - 10.1016/j.ejogrb.2014.10.035

DO - 10.1016/j.ejogrb.2014.10.035

M3 - Review article

VL - 183

SP - 183

EP - 187

JO - European Journal of Obstetrics and Gynecology and Reproductive Biology

JF - European Journal of Obstetrics and Gynecology and Reproductive Biology

SN - 0028-2243

ER -