Bottom-up technique for laparoscopic assisted myomectomy: A new technical approach

Abstract

Abstract Objective To evaluate the efficacy of a new instrument and a new surgical technique for laparoscopic assisted myomectomy. Design Prospective controlled clinical study. Setting Takarazuka City Hospital, Japan. Subjects Women (78) who underwent laparoscopic assisted myomectomy. Results During the study period all cases were successfully managed using the new technique. No complications occurred. The mean operating time was 85.5±39min. The mean myoma weight was 312±118.2g. The mean amount of blood loss was 89.3± 28.1ml. The mean amount of CO 2 used throughout the procedure was 12±5.3L. The mean duration of the hospital stay was 1±0.4day. Long term follow-up showed that 66.6% of the infertile cases achieved pregnancy, improvement of menorrhagia was achieved in 76.4% of patients and remission of pelvic pain was achieved in 57.1% of patients. Conclusion The bottom-up technique of laparoscopic assisted myomectomy using Lap Disc Mini is safe, effective and easy to use for laparoscopic management of uterine myoma.