Ji Ye Kim1, Kye Hyun Kim1, Joong Sub Choi2, Jung Hun Lee3. 1. Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. 2. Department of Obstetrics and Gynecology, College of Medicine, Hanyang University Hospital, Seoul, Republic of Korea. 3. Department of Obstetrics and Gynecology, MizMedi Hospital, Seoul, Republic of Korea. Electronic address: leemjjm@gmail.com.
Abstract
STUDY OBJECTIVE: To compare operative and obstetric outcomes of laparoendoscopic single-site myomectomy (LESS-M) vs conventional laparoscopic myomectomy (LM). DESIGN: Prospective matched case-control study. SETTING: A university hospital and a tertiary care center. PATIENTS: Forty-five women underwent LESS-M, and 90 women underwent conventional LM. INTERVENTION: LESS-M or conventional LM. MEASUREMENTS AND MAIN RESULTS: Operative and obstetric outcomes. There were no significant differences between the 2 groups in demographic characteristics, operative time (135 vs 140 minutes), change in hemoglobin concentration (1.9 vs 1.95 g/dL), return of bowel activity (35 vs 28 hours), hospital stay (5 vs 5 days), or complication rate (11.1% vs 8.9%). Insofar as obstetric outcomes, no significant differences were observed between the 2 groups for duration of follow-up (24.4 vs 23.2 months), pregnancy rate in patients who desired pregnancy (66.7% vs 50.0%), full-term delivery rate (66.7% vs 58.3%), and time to first pregnancy after surgery (7.6 vs 10.1 months). CONCLUSION: LESS-M is feasible and safe and has comparable obstetric outcomes to conventional LM in selected women with symptomatic myomas. However, a large prospective randomized study is needed.
STUDY OBJECTIVE: To compare operative and obstetric outcomes of laparoendoscopic single-site myomectomy (LESS-M) vs conventional laparoscopic myomectomy (LM). DESIGN: Prospective matched case-control study. SETTING: A university hospital and a tertiary care center. PATIENTS: Forty-five women underwent LESS-M, and 90 women underwent conventional LM. INTERVENTION: LESS-M or conventional LM. MEASUREMENTS AND MAIN RESULTS: Operative and obstetric outcomes. There were no significant differences between the 2 groups in demographic characteristics, operative time (135 vs 140 minutes), change in hemoglobin concentration (1.9 vs 1.95 g/dL), return of bowel activity (35 vs 28 hours), hospital stay (5 vs 5 days), or complication rate (11.1% vs 8.9%). Insofar as obstetric outcomes, no significant differences were observed between the 2 groups for duration of follow-up (24.4 vs 23.2 months), pregnancy rate in patients who desired pregnancy (66.7% vs 50.0%), full-term delivery rate (66.7% vs 58.3%), and time to first pregnancy after surgery (7.6 vs 10.1 months). CONCLUSION: LESS-M is feasible and safe and has comparable obstetric outcomes to conventional LM in selected women with symptomatic myomas. However, a large prospective randomized study is needed.
Authors: K Floss; G-J Garcia-Rocha; S Kundu; C S von Kaisenberg; P Hillemanns; C Schippert Journal: Geburtshilfe Frauenheilkd Date: 2015-01 Impact factor: 2.915
Authors: Su Mi Kim; Jong Min Baek; Eun Kyung Park; In Cheul Jeung; Ji Hyang Choi; Chan Joo Kim; Yong Seok Lee Journal: JSLS Date: 2015 Sep-Dec Impact factor: 2.172