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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2021

Open Access 01-10-2021 | Incision

A different technique in gasless, laparoendoscopic, single-site myomectomy

Authors: Guixiu Jin, Xiumin Zhao, Danyang Zhu

Published in: Surgical Endoscopy | Issue 10/2021

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Abstract

Background

The aim of this study was to introduce a novel technique for gasless, laparoendoscopic, single-site (GLESS) myomectomy and to evaluate its feasibility and safety.

Methods

A retrospective observational study was performed at a hospital from Sep 2017 to Nov 2018. 15 patients with symptomatic subserosal or intramural myomas underwent GLESS myomectomy.

Results

The mean age and body mass index were 41.73 ± 8.58 years and 22.72 ± 2.27 kg/m2, respectively. 5 patients had a history of abdominal surgery, including four caesarean deliveries and one myomectomy. The mean operative duration, blood loss volume, time to specimen removal, time of bowel activity and postoperative hospitalization duration were 156.47 ± 62.19 min, 57.33 ± 72.35 ml, 29.87 ± 13.6 min, 27.67 ± 10.06 h, and 3.4 ± 0.74 days, respectively. The operation was successful in all patients, there were no surgical or wound complications in any patient, and the histopathological result was leiomyoma in all 15 patients.

Conclusion

The procedure is feasible and safe in selected patients with symptomatic myomas.
Appendix
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Literature
1.
Buttram VC Jr, Reiter RC (1981) Uterine leiomyomata: etiology, symptomatology, and management. FertilSteril 36:433–445
2.
TekeliogluUY EA, Demirhan A, Akkaya A, Ozturk S, Bilgi B (2013) The prolonged effect of pneumoperitoneum on cardiac auto- nomic functions during laparoscopic surgery; are we aware? Eur Rev Med Pharmacol Sci 17:895–902
3.
Akira S, Abe T, Igarashi K, Nishi Y, Kurose K, Watanabe M (2005) Gasless laparoscopic surgery using a new intra-abdominal fan retractor system: an experience of 500 cases. J Nippon Med Sch 72:213–216CrossRef
4.
Palomba S, Zupi E, Falbo A, Russo T, Marconi D, Zullo F (2010) New tool (Laparotenser) for gasless laparoscopic myomectomy: a multicenter- controlled study. Fertil Steril 94:1090–1096CrossRef
5.
Ulker K, Huseyinoglu U, K, (2013) Management of benign ovarian cysts by a novel, gasless, single-incision laparoscopic technique: keyless abdominal rope-lifting surgery (KARS). Surg Endosc 27:189–198CrossRef
6.
GokhanDemirayak, (2017) A different technique in gasless laparoendoscopic single-site hysterectomy. J ObstetGynaecal 37(5):622–626
7.
Li SH, Deng J, Huang FT, Gan XW, Cao YG (2014) Impact of gasless laparoscopy on circulation, respiration, stress response, and other complications in gynecological geriatrics. Int J Clin Exp Med 7:2877–2882PubMedPubMedCentral
8.
Srivastava A, Niranjan A (2016) Secrets of safe laparoscopic surgery: anaesthetic and surgical considerations. J Min Access Surg 6:91–94CrossRef
9.
Srisawat N, Kongwibulwut M, Laoveeravat P, Lumplertgul N, Chatkaew P, Saeyub P et al (2018) The role of intra operative parameters on predicting laparoscopic abdominal surgery associated acute kidney injury. BMC Nephrol 19(1):289–296CrossRef
10.
Takeda A, Imoto S, Mori M, Nakano T, Nakamura H (2011) Early experience with isobaric laparoendoscopic single-site surgery using a wound retractor for the management of ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol 154(2):209–214CrossRef
11.
Takeda A, Imoto S, Nakamura H (2014) Gasless laparoendoscopic single-site surgery For management of adnexal masses during pregnancy. Eur J ObstetGynecolReprodBiol 180:28–34
12.
Takeda A, Imoto S, Nakamura H (2014) Management of pediatric and adolescent adnexal masses by gasless laparoendoscopic single-site surgery. Eur J ObstetGynecolReprodBiol 181:66–71
13.
Choi CH, Kim TH, Kim SH et al (2013) Surgical outcomes of a new approach to laparoscopic myomectomy: single-port and modified suture technique. J Minim Invasive Gynecol 21(4):580–585CrossRef
14.
Kang M, Kim J, Kim TJ et al (2020) Long-term outcomes of single-port laparoscopic myomectomy using a modified suture technique. ObstetGynecol Sci 63(2):164–172
15.
Yuk JS, Kim YA, Lee JH (2019) Hybrid robotic single-site myomectomy using the gelpoint platform. J Laparoendosc Adv Surg Tech A 29(11):1–3CrossRef
16.
Yuk JS, Ji HY, Kim KH, Lee JH (2015) Single-port laparoscopically assisted-transumbilical ultraminilaparotomic myomectomy (SPLA-TUM) versus single port laparoscopic myomectomy: a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol 188:83–87CrossRef
17.
Parker WH (2018) Indications for morcellation in gynecologic surgery. Curr Opin Obstet Gynecol 30:75–80CrossRef
18.
Milad MP, Milad EA (2014) Laparoscopic morcellator-related complications. J Minim Invasive Gynecol 21:486–491CrossRef
19.
Leren V, Langebrekke A, Qvigstad E (2012) Parasitic leiomyomas after laparoscopic surgery with morcellation. Acta Obstet Gynecol Scand 91:1233–1236CrossRef
20.
Anupama R, Ahmad SZ, Kuriakose S, Vijaykumar DK, Pavithran K, Seethalekshmy NV (2011) Disseminated peritoneal leiomyosarcomas after laparoscopic “myomectomy” and morcellation. J Minim Invasive Gynecol 18:386–389CrossRef
21.
US Food and Drug Administration (2014) Laparoscopic uterine power morcellation in hysterectomy and myomectomy: FDA safety communication [Internet]. Silver Spring (MD): US Food and Drug Administration.
Metadata
Title
A different technique in gasless, laparoendoscopic, single-site myomectomy
Authors
Guixiu Jin
Xiumin Zhao
Danyang Zhu
Publication date
01-10-2021
Publisher
Springer US
Keyword
Incision
Published in
Surgical Endoscopy / Issue 10/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-08044-y

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