Abstract
Aim: To describe characteristics of uterine fibroids and evaluate the effectiveness of laparoscopic myomectomy.
 Methods: Cross-sectional observative study in fifty-two patients underwent laparoscopic myomectomy at Department of Obstetrics and Gynecology, Hospital of Hue Medicine and Pharmacy University and Hue Central Hospital from 6/2019 to 6/2021. Inclusion criteria were patients with ≤ 5 fibroids, largest diameter did not exceed 10cm in diameter and no contraindication for laparoscopy. Patients were operated laparoscopically and manually morcellated by vaginal route, without electrical morcellator.
 Results: Mean age was 42.3 ± 4.2 years old. The most common symptom was abnormal uterine bleeding (42.3%). The mean diameter was 66.8 ± 16.3 mm. The success rate of laparoscopic myomectomy was 98.1%. The mean operation time was 148.66 ± 51.4 min. Diameter ≥ 80mm, multiple fibroids (>5 fibroids) and operation time ≥ 180 min (p < 0.05) were associated factors of significant Hemoglobin drop and prolonged surgery.
 Conclusions: Laparoscopic myomectomy had high success rate and low complication rate, however appropriate indication and experienced surgeon were necessary.
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