Laparoscopic Myomectomy for Large Myomas
Journal of Korean Medical Science
; : 706-712, 2007.
Article
em En
| WPRIM
| ID: wpr-169945
Biblioteca responsável:
WPRO
ABSTRACT
The aim of this study was to assess the feasibility and efficacy of laparoscopic myomectomy (LM) for large myomas. A subpopulation of 51 patients with myomas 8 cm or larger in diameter was selected from 155 patients who underwent LM at Kangbuk Samsung Hospital from July 2003 to November 2006. The mean age of the patients was 34.9+/-5.6 yr, mean parity was 0.6+/-0.9, and 8 patients had a previous operative history. The most common operative indication was a palpable abdominal mass (24 patients, 47%). The mean operating time was 85.6+/-38.9 min, and the mean diameter of the largest myoma was 9.3+/-1.8 cm. The mean change in hemoglobin concentration was 2.1+/-1.2 g/dL. Histopathological diagnosis included 49 patients of leiomyoma (96.1%) and 2 patients of leiomyoma with adenomyosis (3.9%). Postoperatively, a transfusion was done in 7 patients, and a case of subcutaneous emphysema was noted. None of the operations was switched to laparotomy. With the newly-developed screw and the port placement system that was modified from the Choi's 4-trocar method to obtain better surgical vision, LM of large myomas proved to be one of the efficient and feasible methods.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Enfisema Subcutâneo
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Neoplasias Uterinas
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Estudos de Viabilidade
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Reprodutibilidade dos Testes
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Resultado do Tratamento
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Laparoscopia
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Leiomioma
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Tempo de Internação
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2007
Tipo de documento:
Article