Early Outcome of Myomectomy with Laparotomy and Laparoscopy

Objective To compare the outcome of myomectomy performed by laparotomy and laparoscopy in the first 7days after surgery.Methods Thirty-four patients with myoma less than three and in diameter of 5-15cm from January 2008to December 2009were randomly divided into laparotomy group and laparoscopy group.Results Operation lengths were similar in the two groups.Time of paralytic ileus(P0.05)and discharge(P0.05)were longer in laparotomy group than laparoscopy group.Compared with laparoscopy group,laparotomy group had a greater hemoglobin decline(P0.05).Time of post-operation fever were longer in laparotomy group than laparoscopy group (P0.05).Seven days after surgery,the visual analogue scores of abdominal pain were higher in laparotomy group than in laparoscopy group(P0.05).Conclusion Compared with the laparotomy myomectomy,laparoscopy myo-mectomy have mini trauma,quicker post operative recovery,and less pain.This method is safe and effective.