Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy

which is the optimal surgical approach?

Peng Hui Wang, Wei Min Liu, Jong Ling Fuh, Hsiang Tai Chao, Chiou Chung Yuan, Kuan Chong Chao

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective: To determine the optimal surgical approach when patients are treated with laparoscopic uterine vessel occlusion (LUVO) combined with myomectomy in the management of women with symptomatic uterine fibroids. Design: An observational study. Setting: Medical centers. Patient(s): One hundred thirty-one patients with symptomatic myomas underwent LUVO plus laparoscopic myomectomy (LM; LUVO+LM) (n = 49) or LUVO plus ultra-mini laparotomy UMLT-M (LUVO+UMLT-M) (n = 82). Intervention(s): Myomectomy through laparoscopy or UMLT access. Main Outcome Measure(s): The outcome was measured by comparing surgical techniques, and 3-year follow-up, including symptom control and reintervention (hysterectomy or myomectomy), in both groups. Result(s): General characteristics of the patients were similar in both groups, except the number of myomas. Surgical techniques seemed to be easier in the LUVO+UMLT-M group than in LUVO+LM group, because of less operation time (56.1 ± 16.9 minutes vs. 73.4 ± 26.9 minutes; P=.009) and a higher success rate (100% vs. 91.8%; P=.018). There were no differences in the 3-year follow-up of the therapeutic outcomes of the LUVO+UMLT-M and LUVO+LM groups, with low reintervention rates (1.2% vs. 0) and good symptom control rates in both groups. Conclusion(s): The LUVO+LM, either through laparoscopy or UMLT, was acceptable in the management of symptomatic uterine fibroids. However, the LUVO+UMLT-M technique might be more feasible, as it required less operative time and had a higher success rate.

Original languageEnglish
Pages (from-to)762-769
Number of pages8
JournalFertility and Sterility
Volume92
Issue number2
DOIs
Publication statusPublished - Aug 2009

Fingerprint

Uterine Myomectomy
Myoma
Leiomyoma
Laparoscopy
Operative Time
Hysterectomy
Laparotomy
Observational Studies
Outcome Assessment (Health Care)

Keywords

  • fibroid
  • laparoscopic myomectomy
  • Laparoscopic uterine vessel occlusion
  • ultra-mini laparotomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy : which is the optimal surgical approach? / Wang, Peng Hui; Liu, Wei Min; Fuh, Jong Ling; Chao, Hsiang Tai; Yuan, Chiou Chung; Chao, Kuan Chong.

In: Fertility and Sterility, Vol. 92, No. 2, 08.2009, p. 762-769.

Research output: Contribution to journalArticle

Wang, Peng Hui ; Liu, Wei Min ; Fuh, Jong Ling ; Chao, Hsiang Tai ; Yuan, Chiou Chung ; Chao, Kuan Chong. / Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy : which is the optimal surgical approach?. In: Fertility and Sterility. 2009 ; Vol. 92, No. 2. pp. 762-769.
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abstract = "Objective: To determine the optimal surgical approach when patients are treated with laparoscopic uterine vessel occlusion (LUVO) combined with myomectomy in the management of women with symptomatic uterine fibroids. Design: An observational study. Setting: Medical centers. Patient(s): One hundred thirty-one patients with symptomatic myomas underwent LUVO plus laparoscopic myomectomy (LM; LUVO+LM) (n = 49) or LUVO plus ultra-mini laparotomy UMLT-M (LUVO+UMLT-M) (n = 82). Intervention(s): Myomectomy through laparoscopy or UMLT access. Main Outcome Measure(s): The outcome was measured by comparing surgical techniques, and 3-year follow-up, including symptom control and reintervention (hysterectomy or myomectomy), in both groups. Result(s): General characteristics of the patients were similar in both groups, except the number of myomas. Surgical techniques seemed to be easier in the LUVO+UMLT-M group than in LUVO+LM group, because of less operation time (56.1 ± 16.9 minutes vs. 73.4 ± 26.9 minutes; P=.009) and a higher success rate (100{\%} vs. 91.8{\%}; P=.018). There were no differences in the 3-year follow-up of the therapeutic outcomes of the LUVO+UMLT-M and LUVO+LM groups, with low reintervention rates (1.2{\%} vs. 0) and good symptom control rates in both groups. Conclusion(s): The LUVO+LM, either through laparoscopy or UMLT, was acceptable in the management of symptomatic uterine fibroids. However, the LUVO+UMLT-M technique might be more feasible, as it required less operative time and had a higher success rate.",
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