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Archives of Gynecology and Obstetrics

Erschienen in:

01.08.2011 | General Gynecology

Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision

verfasst von: Tuncay Küçüközkan, Enis Özkaya, Fatma Özlem Uçar, Osman Fadıl Kara

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2011

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Abstract

Objective

The aim of this study was to analyze the perioperative outcomes of laparotomy with conventional midline incision and minilaparotomy in patients with large myomas, in a prospective and randomized manner.

Study design

From January 2005 to January 2009, 205 consecutive hysterectomies for large symptomatic myomas had been performed by abdominal approach. Patients were randomly assigned to minilaparotomy or midline incision.

Results

Groups were compared and found to be similar in terms of age, gravida, parity, body mass index, uterine size, operative time and intraoperative hemorrhage volume. Length of hospital stay, rate of surgical site infection and postoperative fever were significantly higher in the conventional laparotomy group with midline incision.

Conclusion

Minilaparotomy is an applicable procedure in hysterectomy for large myomas in the majority of women, resulting in decreased length of hospital stay and complication rates.

Farquhar CM, Steiner CA (2002) Hysterectomy rates in the United States 1990–1997. Obstet Gynecol 99(2):229–234PubMedCrossRef

Maresh MJ, Metcalfe MA, McPherson K et al (2002) The VALUE national hysterectomy study: description of the patients and their surgery. BJOG 109:302–312PubMedCrossRef

Benedetti-Panici P, Maneschi F, Cutillo G et al (1996) Surgery by minilaparotomy in benign gynecologic disease. Obstet Gynecol 87:456–459PubMedCrossRef

Fagotti A, Ferrandina G, Longo R, Mancuso S, Scambia G (2002) Minilaparotomy in early stage endometrial cancer: an alternative to standard and laparoscopic treatment. Gynecol Oncol 86:177–186PubMedCrossRef

Fanfani F, Fagotti A, Longo R, Marana E, Mancuso S, Scambia G (2005) Minilaparotomy in the management of benign gynecologic disease. Eur J Obstet Gynecol Reprod Biol 119(2):232–236PubMedCrossRef

Einarsson JI, Matteson KA, Schulkin J, Chavan NR, Sangi-Haghpeykar H (2010) Minimally invasive hysterectomies—a survey on attitudes and barriers among practicing gynecologists. J Minim Invasive Gynecol 17(2):167–175PubMedCrossRef

Sharma JB, Wadhwa L, Malhotra M, Arora R (2004) Minilaparotomy versus conventional laparotomy for abdominal hysterectomy: a comparative study. Indian J Med Sci 58(5):196–202PubMed

Hoffman MS, Lynch CM (1998) Minilaparotomy hysterectomy. Am J Obstet Gynecol 179:316–320PubMedCrossRef

Flynn M, Niloff JM (1995) Minilaparotomy for the ambulatory management of ovarian cysts. Am J Obstet Gynecol 173:1727–1730PubMedCrossRef

10.

Ciavattini A, Tsiroglou D, Litta P, Frizzo H, Tranquilli AL (2009) Ultra-minilaparotomy myomectomy: a minimally invasive surgical approach for the treatment of large uterine myomas. Gynecol Obstet Invest 68(2):127–133PubMedCrossRef

11.

Wen KC, Sung PL, Chao KC, Lee WL, Liu WM, Wang PH (2008) A prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultraminilaparotomy. Fertil Steril 90(6):2361–2366PubMedCrossRef

12.

Panici PB, Zullo MA, Angioli R, Muzii Ludovico (2005) Minilaparotomy hysterectomy: a valid option for the treatment of benign uterine pathologies. Eur J Obstet Gynecol Reprod Biol 119:228–231PubMedCrossRef

13.

Panici PB, Muzii L, Palaia I, Manci N, Bellati F, Plotti F, Zullo M, Angioli RV (2007) Minilaparotomy versus laparoscopy in the treatment of benign adnexal cysts: a randomized clinical study. Eur J Obstet Gynecol Reprod Biol 133(2):218–222PubMedCrossRef

14.

Benassi L, Rossi T, Kaihura CT, Ricci L, Bedocchi L, Galanti B, Vadora E (2002) Abdominal or vaginal hysterectomy for enlarged uteri: a randomized clinical trial. Am J Obstet Gynecol 187(6):1561–1565PubMedCrossRef

15.

Alessandri F, Lijoi D, Mistrangelo E, Ferrero S, Ragni N (2006) Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas. J Minim Invasive Gynecol 13(2):92–97PubMedCrossRef

16.

Marana R, Busacca M, Zupi E et al (1999) Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obstet Gynecol 180:270–275PubMedCrossRef

17.

Reich H, DeCaprio J, McGlynn F (1989) Laparoscopic hysterectomy. J Gynecol Surg 5:213–216CrossRef

18.

Dorsey JH, Steinberg EP, Holtz PM (1995) Clinical indications for hysterectomy route: patient characteristics or physician preference? Am J Obstet Gynecol 173:1452–1460PubMedCrossRef

19.

Nezhat C, Bess O, Admon D, Nezhat CH, Nezhat F (1994) Hospital cost comparison between abdominal, vaginal and laparoscopically assisted vaginal hysterectomies. Obstet Gynecol 83:713–716PubMed

20.

Lumsden MA, Twaddle S, Hawthorn R, Traynor I, Gilmore D, Davis J et al (2000) A randomised comparison and economic evaluation of laparoscopic-assisted hysterectomy and abdominal hysterectomy. BJOG 107:1386–1391PubMedCrossRef

21.

Falcone T, Paraiso MRF, Mascha E (1999) Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy. Am J Obstet Gynecol 180:955–962PubMedCrossRef

22.

Meikle SF, Nugent EW, Orleans M (1997) Complications and recovery from laparoscopy-assisted vaginal hysterectomy compared with abdominal and vaginal hysterectomy. Obstet Gynecol 89:304–311PubMedCrossRef

Titel: Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision
verfasst von: Tuncay Küçüközkan
Enis Özkaya
Fatma Özlem Uçar
Osman Fadıl Kara
Publikationsdatum: 01.08.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 2/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1684-x

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Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision

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Study design

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