Abstract

Fibroids are common benign tumours arising in the uterus.Myomectomy is the surgical treatment of choice forwomenwith symptomatic fibroids who prefer or want uterine conservation. Myomectomy can be performed by laparoscopy or open myomectomy. Aim of study is to determine the benefits and harms of laparoscopic myomectomy compared with open myomectomy.It is a comparative study conductedover 1 year in Department of Obstetrics and Gynecology, GMC ,Akola,Maharashtra . 50 patients were included in study who were having uterine fibroid. Subjects were explained about surgery as treatment.30 subject undergone Laproscopic myomectomy and 20 subjects undergone open myomectomy.The clinical data of patients who underwent OM and LM was analyzed. The data recorded comprised patientdemographic information and clinical characteristics includingage, weight, type, and size of myoma and myomectomyindications; and perioperative data including estimation ofblood loss, duration of surgery, complications, and lengthof hospital stay.
 Keywords: Laproscopic myomectomy (LM), open myomectomy(OM), uterine fibroid.

Highlights

  • Fibroids are benign tumors that arise from smooth muscle cells

  • Aim of study is to determine the benefits and harms of laparoscopic myomectomy compared with open myomectomy.It is a comparative study conductedover 1 year in Department of Obstetrics and Gynecology, GMC,Akola,Maharashtra . 50 patients were included in study who were having uterine fibroid

  • It is a comparative study conductedover 1 year in Department of Obstetrics and Gynecology, GMC,Akola,Maharashtra . 50 patients were included in study who were having uterine fibroid .They were informed about the study and written consent was taken. 30 subject undergone Laproscopic myomectomy and 20 subjects undergone open myomectomy

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Summary

Introduction

Fibroids (leiomyomas or myomas) are benign tumors that arise from smooth muscle cells. Fibroids are foundcommonly in the uterus and connective tissues. They constitute the most common benign tumors among women. The pathogenesis of fibroids is associated with multiple factors including ovarian steroid hormones, growth factors, smooth muscle injury, and genetic predispositions.[1] Uterine fibroids commonly occur in women of reproductive age with an estimated rate of 20%–40%.[2] Uterine leiomyoma can be classified as intramural, submucosal, or subserosal.

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