Author/Authors :
Zhang, Peihai Shandong University - Qilu Hospital - Department of Gynecology, China , Song, Kun Shandong University - Qilu Hospital - Department of Gynecology, China , Li, Li Shanghai University - Qilu Hospital - Department of Gynecology, China , Yukuwa, Kazunori Wakayama Medical University - School of Medicine, Japan , Kong, Beihua Wakayama Medical University - School of Medicine, Japan
Abstract :
Objectives: To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by ‘simultaneous morcellation in situ’ (SMI) in laparoscopic myomectomy (LM). Patients and Methods: Twenty-six patients with leiomyomas 9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed. Results: The average operating time was 106.4 ± 38.5 min (range 50–175 min). The average blood loss was 278.2 ± 164.6 ml (range 50–800 ml). There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 ± 0.2 days (range 5–7 days). Conclusion: Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas ( 9 cm) during LM.
