Laparoscopic-assisted vaginal myomectomy through an anterior approach

Hung Yen Chin, Chyi Long Lee, Chih Feng Yen, Chin Jung Wang, Yung Kuei Soong

Research output: Contribution to journalArticle

8 Citations (Scopus)

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 laparosocopic 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 laparosocpic myomectomy.

Original languageEnglish
Pages (from-to)135-138
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume14
Issue number3
DOIs
Publication statusPublished - Jun 1 2004
Externally publishedYes

Fingerprint

Uterine Myomectomy
Myoma
Hematuria
Length of Stay
Colpotomy
Leiomyoma
Vagina
Operative Time
Laparoscopy
Sutures
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic-assisted vaginal myomectomy through an anterior approach. / Chin, Hung Yen; Lee, Chyi Long; Yen, Chih Feng; Wang, Chin Jung; Soong, Yung Kuei.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, Vol. 14, No. 3, 01.06.2004, p. 135-138.

Research output: Contribution to journalArticle

Chin, Hung Yen ; Lee, Chyi Long ; Yen, Chih Feng ; Wang, Chin Jung ; Soong, Yung Kuei. / Laparoscopic-assisted vaginal myomectomy through an anterior approach. In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A. 2004 ; Vol. 14, No. 3. pp. 135-138.
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