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 language | English |
|---|---|
| Pages (from-to) | 135-138 |
| Number of pages | 4 |
| Journal | Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A |
| Volume | 14 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 1 2004 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Laparoscopic-assisted vaginal myomectomy through an anterior approach
AU - Chin, Hung Yen
AU - Lee, Chyi Long
AU - Yen, Chih Feng
AU - Wang, Chin Jung
AU - Soong, Yung Kuei
PY - 2004/6/1
Y1 - 2004/6/1
N2 - 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.
AB - 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.
KW - laparoscopic assisted vaginal myomectomy
KW - laparoscopic surgery
KW - suturing method
KW - uterus myoma
KW - postoperative complication
KW - surgical approach
KW - hematuria
KW - myomectomy
KW - colpotomy
UR - http://www.scopus.com/inward/record.url?scp=3042601994&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=3042601994&partnerID=8YFLogxK
U2 - 10.1089/1092642041255432
DO - 10.1089/1092642041255432
M3 - Article
C2 - 15245664
AN - SCOPUS:3042601994
VL - 14
SP - 135
EP - 138
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
SN - 1092-6429
IS - 3
ER -