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Erschienen in:
01.02.2013 | General Gynecology
Single-port laparoscopic myomectomy: initial operative experience and comparative outcome
Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2013
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Objective
To present the initial operative outcome and comparative data among patients undergoing single-port laparoscopic myomectomy (SPLM).
Materials and methods
A prospective, observational study of all patients who underwent SPLM was performed. The demographic and operative data, including age, body mass index, operative indications, operative time, estimated blood loss, complications, and postoperative hospital stay were recorded. A match cohort of patients undergoing traditional LM was also retrospectively compared.
Results
SPLM was successfully performed in all ten patients from April 2010 to October 2010. The two groups (SPLM and traditional LM) were matched by age, body mass index, size, and weight of fibroids. The median operating time (196.5 vs. 82.5 min, P < 0.001) and length of hospitalization (3 vs. 2 days, P = 0.042) were significantly longer in SPLM group than in traditional LM group. The median operative blood loss was not significantly different. No patients in either group had serious complications.
Conclusion
Despite the increased operating time, SPLM is feasible and offers comparable surgical outcomes and superior cosmesis compared with traditional LM.