Abstract
ObjectiveTo compare the outcomes of laparotomic versus laparoscopic myomectomy in the gynecology service of a Spanish hospital. Material and methodsWe performed a retrospective, comparative study of myomectomies performed between January 2005 and December 2007. The variables analyzed were demographic data, preoperative use of GnRH analogues, mean operating time, reconversion rate, postoperative pain, variations in the hemoglobin count, mean length of hospital stay, maximum myoma weight, the overall complications rate, and postoperative fertility. ResultsDuring the study period, 35 myomectomies (19 laparotomic and 16 laparoscopic) were performed. The mean operating time was 88 minutes in the laparotomic group and 104 minutes in the laparoscopic group (P<.05). In the laparotomic group, hemoglobin loss was 2.87 g/dl, rescue analgesia was required in 52.6% of the women and the mean length of hospital stay was 3.1 days. In the laparoscopic group these values were 3.26 g/dl, 6.22% and 1.7 days, respectively. ConclusionsIn well-trained and experienced hands, laparoscopic myomectomy is an effective alternative to the laparotomic route in well-selected patients.
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