March 23rd, 2018

A full text version of this article is available.
To access article obtain online access here or login
Laparoscopic Myomectomy: A Comparison of Surgical Techniques
Authors:  Maria Antonietta Castaldi, M.D., Lavinia Mosca, M.D., Giulio Toro, M.D., Nicola Colacurci, M.D., Giuseppe Signoriello, M.D., Ph.D., and Luigi Cobellis, M.D., Ph.D.
  OBJECTIVE: To evaluate 2 different techniques of myomectomy by comparing laparoscopy with 3 or 2 suprapubic ports, with regard to operative parameters and outcomes.

STUDY DESIGN: This was a retrospective nonrandomized study (Canadian Task Force classification II-2) set at the Second University of Naples, involving 67 patients who underwent laparoscopic myomectomy between January 2010 and March 2014. Patients were divided into 2 groups: Group A (n=37) underwent laparoscopic myomectomy with 3 operative ports, and Group B (n=30) underwent laparoscopic myomectomy with 2 operative ports.

RESULTS: Significant differences were observed in operative times and intraoperative blood loss. No significant difference was observed in number of removed myomas, although a significantly greater number of isthmic and infraligamentary myomas and a greater diameter of removed myomas were observed in the patients of Group A as compared to those in Group B. The degree of surgical difficulty, evaluated by visual analog scale, was higher in Group A.

CONCLUSION: Laparoscopic myomectomy with 2 operative trocars is, in our opinion, an effective and safe surgical approach with lower or at least comparable intraoperative difficulties and similar outcome. However, the technique with 3 operative trocars remains the best choice for large and difficult myomas.
Keywords:  fibroid uterus, fibroids, fibromyoma, gynecologic surgical procedures, gynecologic surgery, laparoscopic surgery, laparoscopic surgical procedure, laparoscopy, leiomyoma, minimally invasive surgical procedures, myoma, uterine myomectomy, uterine neoplasms
  Acrobat Reader 7.0 is recommended to properly view and print the article.
Reader can be downloaded from