Fibroid Peritoneoscope Surgery 186 Analysis

Objective To evaluate the clinical differences of surgery indications, complications and recovery in uterine myomectomy through laparoscopy,laparoscopic assisted vaginal myomectomy and laparoscopic assisted minilaparotomy.Methods 154 women undergoing laparoscopic uterine myomectomy,13 women undergoing laparoscopic assisted vaginal myomectomy and 19 women undergoing laparoscopic assisted minilaparotomy enrolled in the study from April 2005 through August 2007 and were analyzed retrospectively. Results The unspecified infections or febrile episodes occurred in 5 cases, the median operation time was(47.3±25.2)min and the median blood loss was(84.3±34.6)ml in the group of laparoscopy. The unspecified infections or febrile episodes occurred in 4 cases, the median operation time was(78.6 ±42.9)min and the median blood loss was(131.4±52.6)ml in the group of laparoscopic assisted vaginal myomectomy. The unspecified infections or febrile episodes occurred in 1 cases, the median operation time was(72.4±47.5)min and the median blood loss was(130.6±58.7)ml in the group of laparoscopic assisted minilaparotomy.Conclusion Comparing three approaches to myomectomy, each has different indication because of different surgery techniques. The benefits of laparoscopy are lower intraoperative blood loss, speedier return to normal activities and fewer unspecified infections or febrile episodes.