Abstract
BackgroundWe present a minimal skin wound abdominal hysterectomy for patients with leiomyomas and describe the characteristics of this technique. The skin wound was made as small as possible, with a maximum length of 6 cm.MethodsIn addition to introducing minimal skin wound abdominal hysterectomy, we retrospectively analyzed the medical records of 82 patients treated with minimal skin wound abdominal hysterectomy exclusively by two experts at Maruyama Memorial General Hospital between January 2013 and December 2016. Relationships between the leiomyoma characteristics and the difficulty of this operation, as estimated by operation time and blood loss, were statistically investigated.ResultsFirst, we introduce a case in which we performed minimal skin wound abdominal hysterectomy on a 46-year-old Japanese patient with multiple leiomyomas (maximum 8 cm in diameter). Then, we assessed the impacts of the leiomyoma characteristics on the difficulty of this operation. On multivariate analysis, the number of leiomyomas significantly affected operation difficulty. Other characteristics of the target leiomyoma showed no effect. Additionally, higher body mass index also made the operation more difficult.ConclusionsAlthough multiple leiomyomas can make this procedure difficult, minimal skin wound abdominal hysterectomy is safe and effective for use in many cases.
Highlights
We present a minimal skin wound abdominal hysterectomy for patients with leiomyomas and describe the characteristics of this technique
All subjects completed minimal skin incision abdominal hysterectomy (MAH) for uterine leiomyoma with skin incision less than 6 cm in length, and we excluded the cases in which we extended the skin incision greater than 6 cm
Patient characteristics were collected, including body mass index (BMI, kg/m2), age, administration of gonadotropinreleasing hormone analog (GnRHa), presence of hypermenorrhea, and presence of adhesion diagnosed during surgery
Summary
We present a minimal skin wound abdominal hysterectomy for patients with leiomyomas and describe the characteristics of this technique. Isono and Maruyama J Med Case Reports (2021) 15:128 minimal skin incision laparotomy technique for hysterectomy, which offers improvements to the classical abdominal hysterectomy. In this procedure, we attempted to make the abdominal wound as small as possible, with a maximum length of 6 cm. We attempted to make the abdominal wound as small as possible, with a maximum length of 6 cm In this retrospective analysis, we tried to identify the optimal application of our operation method in terms of decreased operative time and reduced blood loss
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