Publication:

Laparoscopic myomectomy - a three year experience

Background Fibroids are the most common benign tumor of the uterus to affect women of reproductive age. Many women opt for laparoscopic myomectomy to conserve their uterus for fertility. This study aimed at evaluating the complications, need for blood transfusion and the average time taken for Laparoscopic myomectomy.

Methods We conducted a retrospective observational study of laparoscopic myomectomy cases in a tertiary care hospital for a period of 3 years from July 2013.

Results A total of 31 cases of laparoscopic myomectomy were evaluated. Average time taken was 161 +/- 31.2 minutes. Most common type of fibroid encountered was intramural, 16 (51.6%). The chief presenting symptom was abnormal uterine bleeding, 16 (51%). 3 (5.8%) of the patients had intraoperative/immediate post-surgery blood transfusion. Major vessel injury occurred in one case (3.2%). In 25 (80.64%) cases power morcellation was used, minilap incision and colpotomy for fibroid retrieval in 2 cases each. There was no single case of febrile morbidity. Average period of hospital stay was 2 days.

Conclusions Laparoscopic myomectomy is a viable option in women with symptomatic fibroids who want to retain their uterus. The procedure is safe in the hands of skilled surgeon.