American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 144.e1-144.e8 , February 2010

Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy

  • Kuo-Chang Wen, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Institute of Clinical Medicine, National Yang-Ming University School of Medicine, National Yang-Ming University Hospital, Ilan, and Taipei Veterans General Hospital, Taiwan
    • Department of Obstetrics and Gynecology, Chutung Veterans General Hospital, Hsin-Chu, Taiwan
  • ,
  • Yi-Jen Chen, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Institute of Clinical Medicine, National Yang-Ming University School of Medicine, National Yang-Ming University Hospital, Ilan, and Taipei Veterans General Hospital, Taiwan
  • ,
  • Pi-Lin Sung, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Chia-Yi Veterans General Hospital, Chia-Yi, Taiwan
  • ,
  • Peng-Hui Wang, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, Institute of Clinical Medicine, National Yang-Ming University School of Medicine, National Yang-Ming University Hospital, Ilan, and Taipei Veterans General Hospital, Taiwan
    • Corresponding Author InformationReprints: Peng-Hui Wang, MD, PhD, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University School of Medicine, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan

Received 1 May 2009 ,Revised 15 August 2009 ,Accepted 27 October 2009.

References 

  1. The Practice Committee of the American Society for Reproductive Medicine. Myomas and reproductive function. Fertil Steril. 2008;90(Suppl):S125–S130
  2. Cheng MH, Chao HT, Wang PH. Medical treatment for uterine myomas. Taiwan J Obstet Gynecol. 2008;47:18–23
  3. Cheng MH, Wang PH. Uterine myoma: a condition amendable to medical therapy?. Expert Opinion Emerging Drugs. 2008;13:119–133
  4. Liu WM, Wang PH, Chou CS, Tang WL, Want IT, Tzeng CR. Efficacy of combined laparoscopic uterine artery occlusion and myomectomy via minilaparotomy in the treatment of recurrent uterine myomas. Fertil Steril. 2007;87:356–361
  5. Benedetti-Panici P, Maneschi F, Cutillo G, Scambia G, Congiu M, Mancuso S. Surgery by minilaparotomy in benign gynecologic disease. Obstet Gynecol. 1996;87:456–459
  6. Fanfani F, Fagotti A, Bifulco G, Ercoli A, Malzoni M, Scambia G. A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas. J Minim Invasive Gynecol. 2005;12:470–474
  7. Prapas Y, Kalogiannidis I, Prapas N. Laparoscopy vs laparoscopically assisted myomectomy in the management of uterine myomas: a prospective study. Am J Obstet Gynecol. 2009;200:144.e1–144.e6
  8. Tan J, Sun Y, Dai H, Zhong B, Wang D. A randomized trial of laparoscopic versus laparoscopic-assisted minilaparotomy myomectomy for removal of large uterine myoma: short-term outcomes. J Minim Invasive Gynecol. 2008;15:402–409
  9. Cagnacci A, Pirillo D, Malmusi S, Arangino S, Alessandrini C, Volpe A. Early outcome of myomectomy by laparotomy, minilaparotomy and laparoscopically assisted minilaparotomy: a randomized prospective study. Hum Reprod. 2003;18:2590–2594
  10. Wang PH, Liu WM, Fuh JL, Chao HT, Yuan CC, Chao KC. Laparoscopic uterine vessel occlusion in the management of women with symptomatic uterine myomas with and without adding laparoscopic myomectomy–4-year results. J Minim Invasive Gynecol. 2008;15:712–718
  11. Ciavattini A, Tsiroglou D, Litta P, Frizzo H, Tranquilli AL. Ultra-minilaparotomy myomectomy: a minimally invasive surgical approach for the treatment of large uterine myomas. Gynecol Obstet Invest. 2009;68:127–133
  12. Wen KC, Sung PL, Chao KC, Lee WL, Liu WM, Wang PH. A prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultramini-laparotomy. Fertil Steril. 2008;90:2361–2366
  13. Wang PH, Liu WM, Fuh JL, Chao HT, Yuan CC, Chao KC. Comparison of ultraminilaparotomy for myomectomy through midline vertical incision or modified Pfannenstiel incision–a prospective short-term follow-up. Fertil Steril. 2009;91:1945–1950
  14. Wang PH, Liu WM, Fuh JL, Chao HT, Yuan CC, Chao KC. Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy: which is the optimal surgical approach?. Fertil Steril. 2009;92:762–769
  15. Wang PH, Liu WM, Fuh JL, Cheng MH, Chao HT. Comparison of surgery alone and combined surgical-medical treatment in the management of symptomatic uterine adenomyoma. Fertil Steril. 2009;92:876–885
  16. Signorile PG. Laparoscopic-ultraminilaparotomic myomectomy (LUM)-laparoscopic-ultraminilaparotomic embolized myomectomy (LUEM): surgical techniques. Clin Exp Obstet Gynecol. 2002;29:277–280
  17. Dubuisson JB, Lecuru F, Foulot H, Mandelbrot L, Aubriot FX, Mouly M. Myomectomy by laparoscopy: a preliminary report of 43 cases. Fertil Steril. 1991;56:827–830
  18. Pelosi MA, Pelosi MA. Spontaneous uterine rupture at thirty-three weeks subsequent to previous superficial laparoscopic myomectomy. Am J Obstet Gynecol. 1997;177:1547–1549
  19. Hockstein S. Spontaneous uterine rupture in the early third trimester after laparoscopically assisted myomectomy: a case report. J Reprod Med. 2000;45:139–141
  20. Harris WJ. Uterine dehiscence of following laparoscopic myomectomy. Obstet Gynecol. 1992;80:545–546
  21. Taniguchi F, Harada T, Iwabe T, Yoshida S, Mitsunari M, Terakawa N. Use of the LAP DISK (abdominal wall sealing device) in laparoscopically assisted myomectomy. Fertil Steril. 2004;81:1120–1124
  22. Dubuisso JB, Fauconnier A, Babaki-Fard K, Chapron C. Laparoscopic myomectomy: a current view. Hum Reprod Update. 2000;6:588–594
  23. Glasser MH. Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid uterus. J Minim Invasive Gynecol. 2005;12:275–283
  24. Fambrini M, Penna C, Pieralli A, et al. Feasibility of myomectomy performed by minilaparotomy. Acta Obstet Gynecol Scand. 2006;85:1109–1113
  25. Alessandri F, Lijoi D, Mistrangelo E, Ferrero S, Ragni N. Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas. J Minim Invasive Gynecol. 2006;13:92–97
  26. Palomba S, Zupi E, Falbo A, et al. A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: reproductive outcomes. Fertil Steril. 2007;88:933–941
  27. Advincula AP, Xu X, Goudeau SIV, Ransom SB. Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs. J Minim Invasive Gynecol. 2007;14:698–705

 The first 3 authors contributed equally to this article.

 This work was supported in part by Grants from Taipei Veterans General Hospital (V97ED1-008, V98F-009, V98C1-044) and the National Science Council (NSC 96-2314-B-010-018-MY3), Taipei, Taiwan.

 Cite this article as: Wen K-C, Chen Y-J, Sung P-L, et al. Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy. Am J Obstet Gynecol 2010;202:144.e1-8.

PII: S0002-9378(09)02088-2

doi: 10.1016/j.ajog.2009.10.872

American Journal of Obstetrics & Gynecology
Volume 202, Issue 2 , Pages 144.e1-144.e8 , February 2010