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Surgical Endoscopy

Published in:

01-09-2006

Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas

Authors: A. Damiani, L. Melgrati, G. Franzoni, M. Stepanyan, S. Bonifacio, F. Sesti

Published in: Surgical Endoscopy | Issue 9/2006

Abstract

Background

This study aimed to evaluate the feasibility and safety of isobaric laparoscopic removal of large myomas (≥8 cm) using the Laparotenser, a subcutaneous abdominal wall-lifting system.

Methods

A series of 63 consecutive patients with at least one large symptomatic subserosal or intramural uterine myoma (≥8 cm) underwent an isobaric gasless laparoscopic myomectomy. Conventional laparotomy instruments were used.

Results

The procedure was successfully completed for all 63 consecutive patients. The average size of the dominant myoma was 11 cm. The mean number of myomas removed from each patient was 3.6. The mean blood loss was 143 ml, and the mean operating time was 72 min. No intraoperative complication occurred.

Conclusions

Gasless laparoscopic myomectomy for the removal of large myomas using the Laparotenser is feasible and safe. It offers several advantages over laparoscopy with pneumoperitoneum.

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Title: Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas
Authors: A. Damiani
L. Melgrati
G. Franzoni
M. Stepanyan
S. Bonifacio
F. Sesti
Publication date: 01-09-2006
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-9078-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Isobaric gasless laparoscopic myomectomy for removal of large uterine leiomyomas

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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