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Minilaparoscopic Myomectomy: A Mini-invasive Technical Variant.
MedLine Citation:
PMID:  23992206     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: We propose a mini-invasive technical variant for laparoscopic myomectomy, which is currently less invasive and more feasible. Study Design: This was a prospective, controlled, randomized trial, involving 170 patients, who underwent laparoscopic myomectomy. Patients were randomized into two groups: Group A (n=98) underwent standard laparoscopic myomectomy, and Group B (n=72) underwent the mini-invasive technique. The current mini-invasive variant is performed with a 10-mm umbilical trocar and only two 5-mm ancillary trocars. Morcellation is transumbilical: a 0° 5-mm optical system is used and is inserted either in the left or in the right iliac trocar according to the surgeon's preference. Results: The degree of surgical difficulty, evaluated using a visual analog scale (VAS), was similar in the two groups (P=nonsignificant). Postoperative pain measured on a VAS scale showed there was less pain experienced in patients in Group B than in Group A (P<.01). Esthetic results measured on a VAS scale showed a higher compliance for patients in Group B than Group A (P<.01). Conclusions: The mini-invasive laparoscopic myomectomy described is, in our opinion, currently less invasive and more feasible than techniques usually used. Finally, this technique is a valid approach for the surgeon, and it gives women very acceptable aesthetic results.
Authors:
Mario Ardovino; Italo Ardovino; Maria Antonietta Castaldi; Elisabetta Trabucco; Nicola Colacurci; Luigi Cobellis
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-31
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  -     ISSN:  1557-9034     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-9-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Operative Unit of Obstetrics and Gynaecology, Highly Specialized National Hospital "San Giuseppe Moscati," Avellino, Italy .
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