Abstract
Laparoscopic myomectomy is an alternative to the abdominal approach, with fewer complications, shorter hospital stay, and less disability [1, 2]. The laparoscopic route for performing myomectomy has been proven feasible in numerous studies. With the advent of better insufflators, light sources, cameras, improvement in suturing instrumentation and techniques, as well as the availability of electronic morcellators, the rate of laparoscopic myomectomy has increased in the past decade after being limited by the technical and surgical skill challenges it presented.
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References
Nezhat C, Nezhat F, Silfen SL, Schaeffer N, Evans D. Laparoscopic myomectomy. Int J Fertil. 1991; 36(5):275–80.
Dubuisson JB, Lecuru F, Foulot H, Mandelbrot L, Aubriot FX, Mouly M. Myomectomy by laparoscopy: a preliminary report of 43 cases. Fertil Steril. 1991;56:827–30.
Agdi M, Tulandi T. Minimally invasive approach for myomectomy. Semin Reprod Med. 2010;28:228–34.
Kuwatsuru R. The indications, surgical techniques, and limitations of laparoscopic myomectomy. JSLS. 2003;7:89–95.
Parker WH, Rodie IA. Patient selection for laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 1994;2:23–6.
Paul PG, Koshy A, Thomas T. Laparoscopic myomectomy: feasibility and safety – a retrospective study of 762 cases. Gynecol Surg. 2006;3:97–102.
Yoon HJ, Kyung MS, Jung US, Choi JS. Laparoscopic myomectomy for large myomas. J Korean Med Sci. 2007;22:706–12.
Madhuri TK, Kamran W, Walker W, Butler-Manuel S. Synchronous uterine artery embolization and laparoscopic myomectomy for massive uterine leiomyomas. JSLS. 2010;14:120–2.
Walid MS, Heaton RL. Laparoscopic myomectomy: an intent-to-treat study. Arch Gynecol Obstet. 2010;281:645–9.
Frishman G. Vasoressin: if some is good, is more better? Obstet Gynecol. 2009;113:476–7.
Nezhat C, Nezhat F, Nezhat C, editors. Video-assisted and robotic-assisted laparoscopy and hysteroscopy with DVD. 4th ed. Cambridge, UK/New York: Cambridge University Press; 2013.
Huang JQ, Lathi RB, Lemyre M, Rodriguez HE, Nezhat CH, Nezhat C. Coexistence of endometriosis in women with symptomatic leiomyomas. Fertil Steril. 2010;94:720–3.
Fletcher H, Frederick J, Hardie M, et al. A randomized comparison of vasopressin and tourniquet ashemostatic agents during myomectomy. Obstet Gynecol. 1996;87:1014–8.
Zullo F, Palomba S, Corea D, et al. Bupivacaine plus epinephrine forlaparoscopic myomectomy: a randomized placebo-controlled trial. Obstet Gynecol. 2004;104:243–9.
Alessandri F, Remorgida V, Venturini PL, Ferrero S. Unidirectional barbed suture versus continuous suture with intracorporeal knotsin laparoscopic myomectomy: a randomized study. J Minim Invasive Gynecol. 2010;17(6):725–9.
Matsuoka S, Kikuchi I, Kitade M, Kumakiri J, Kuroda K, Tokita S, Kuroda M, Takeda S. Strategy for laparoscopic cervical myomectomy. J Minim Invasive Gynecol. 2010;17:301–5.
Lieng M, Istre O. Uterine rupture after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004;11(1):92–3.
Torbé A, Mikołajek-Bedner W, Kałużyński W, Gutowska-Czajka D, Kwiatkowski S, Błogowski W, Rzepka R, Czajka R. Uterine rupture in the second trimester of pregnancy as an iatrogenic complication of laparoscopic myomectomy. Medicina (Kaunas). 2012;48:182–5.
Stringer NH, McMillan NA, Jones RI, et al. Uterine closure with the endo stitch 10-mm laparoscopic suturing device – a review of 50 laparoscopic myomectomies. Int J Fertil Womens Med. 1997;42:288–96.
Greenberg JA, Einarsson JI. The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy. J Minim Invasive Gynecol. 2008;15(5):621–3.
Manoucheri E, Einarsson JI. The use of barbed suture in hysterectomy and myomectomy. Surg Technol Int. 2013;23:133–6.
Soto E, Flyckt R, Falcone T. Minimally invasive myomectomy using unidirectional knotless barbed suture. J Minim Invasive Gynecol. 2014;21(1):27.
Ostrzenski A. Uterine leiomyoma particle growing in an abdominal-wall incision after laparoscopic retrieval. Obstet Gynecol. 1997;89:853–4.
Kho KA, Nezhat C. Parasitic myomas. Obstet Gynecol. 2009;114:611–5.
Rabischong B, Beguinot M, Compan C, Bourdel N, Kaemmerlen AG, Pouly JL, Canis M, Mage G, Botchorishvili R. Long-term complication of laparoscopic uterine morcellation: iatrogenic parasitic myomas. J Gynecol Obstet Biol Reprod. 2013;42(6):577–84.
Park JY, Park SK, Kim DY, Kim JH, Kim YM, Kim YT, Nam JH. The impact of tumor morcellation during surgery on the prognosis of patients with apparently early uterine leiomyosarcoma. Gynecol Oncol. 2011;122(2):255–9.
Seidman MA, Oduyebo T, Muto MG, Crum CP, Nucci MR, Quade BJ. Peritoneal dissemination complicating morcellation of uterine mesenchymal neoplasms. PLoS One. 2012;7:11.
Nezhat C, Nezhat F, Bess O. Laparoscopically assisted myomectomy: a report of a new technique in 57 cases. Int J Fertil Menopausal Stud. 1994;39:39–44.
Glasser MH. Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid. J Minim Invasive Gynecol. 2005;12(3):275–83.
Nezhat C, Nezhat F, Silfen SL, et al. Laparoscopic myomectomy. Int J Fertil. 1991;36:275–80.
Lethaby A, Vollenhoven B, Sowter M. Efficacy of preoperative gonadotrophin releasing hormone analogues for women with uterine fibroids undergoing hysterectomy or myomectomy: a systematic review. Br J Obstet Gynaecol. 2002;10(109):1097–108.
Campo S, Garcea N. Laparoscopic myomectomy in premenopausal women with and without preoperative treatment using gonadotrophinreleasing hormone analogues. Hum Reprod. 1999;19:44–8.
Freidman AJ, Rein NS, Harrison-Atlas D, et al. A randomized, placebocontrolled, double blind study evaluating leuprolide acetate depot treatment before myomectomy. Fertil Steril. 1989;52:728.
Vercellini P, Trespidi L, Zaina B, et al. Gonadotropin-releasing hormone agonist treatment before abdominal myomectomy: a controlled trial. Fertil Steril. 2003;79(6):1390–5.
Chen I, Motan T, Kiddoo D. Gonadotropin-releasing hormone agonist in laparoscopic myomectomy: systematic review and meta-analysis of randomized controlled trials. J Minim Invasive Gynecol. 2011;18:303–9.
Operative Laparoscopy Study Group. Postoperative adhesion developmentafter operative laparoscopy: evaluation at early second-look procedures. Fertil Steril. 1991;55:700.
Diamond MP. Reduction of adhesions after uterine myomectomy by Seprafilm membrance (HAL-F): a blinded, prospective, randomized, multicenter clinical study. Seprafilm Adhesion Study Group. Fertil Steril. 1996;66:904.
Mais V, Ajossa S, Piras B, Guerriero S, Marongiu D, Melis GB. Prevention of de-novo adhesion formation after laparoscopic myomectomy: a randomized trial to evaluate the effectiveness of an oxidized regenerated cellulose absorbable barrier. Hum Reprod. 1995;10(12):3133–5.
Ahmad G, Duffy JM, Farquhar C, Vail A, Vandekerckhove P, Watson A, Wiseman D. Barrier agents for adhesion prevention after gynaecological surgery. Cochrane Database Syst Rev. 2008;2, CD000475.
Watson A, Vandekerckhove P, Lilford R. Liquid and fluid agents for preventing adhesions after surgery for subfertility. Cochrane Database Syst Rev. 2000;(3):CD001298.
Linsky CB, Diamond MP, DiZerega GS. Effect of blood on the efficacy of barrier adhesion reduction in the rabbit uterine horn model. Infertility. 1998;11:273.
Parker WH, Einarsson J, Istre O, Dubuisson JB. Risk factors for uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 2010 Sep-Oct;17(5):551–4. J Minim Invasive Gynecol. 2010;17(5):551–4.
Pistofidis G, Makrakis E, Balinakos P, Dimitriou E, Bardis N, Anaf V. Report of 7 uterine rupture cases after laparoscopic myomectomy: update of the update of the literature. J Minim Invasive Gynecol. 2012;19(6):762–7.
Dubuisson JB, Chavet X, Chapron C, et al. Dubuisson JB, Chavet X, Chapron C, et al. Uterine rupture during pregnancy after laparoscopic myomectomy. Hum Reprod. 1995;10(6):1475–7.
Friedman W, Maier RE, Luttkus A, et al. Uterine rupture after laparoscopic myomectomy. Acta Obstet Gynecol Scand. 1996;75(7):683–4.
Malberti S, Ferrari L, Milani R. Spontaneous uterine rupture in the third trimester of gestation after laparoscopic myomectomy. A case report. Minerva Ginecol. 2004;56(5):479–80.
Cobellis L, Pecori E, Cobellis G, et al. Cobellis L, Pecori E, Cobellis G, et al. Comparison of intramural myomectomy scar after laparotomy or laparoscopy. Int J Gynaecol Obstet. 2004;84:87–8.
Weibel HS, Jarcevic R, Gagnon R, Tulandi T. Weibel HS, Jarcevic R, Gagnon R, Tulandi T. Perspectives of obstetricians on labour and delivery after abdominal or laparoscopic myomectomy. J Obstet Gynaecol Can. 2014;36(2):128–32.
Seidman DS, Nezhat CH, Nezhat F, Nezhat C. The Role of Laparoscopic-Assisted Myomectomy (LAM). JSLS. 2001;5:299–303.
Campo S, Campo V, Gambadauro P. Reproductive outcome before and after laparoscopic or abdominal myomectomy for subserous or intramural myomas. Eur J Obstet Gynecol Reprod Biol. 2003;110:215–9.
Kim MS, Uhm YK, Kim JY, Jee BC, Kim YB. Obstetric outcomes after uterine myomectomy: laparoscopic versus laparotomic approach. Obstet Gynecol Sci. 2013;56(6):375–81.
Metwally M, Cheong YC, Horne AW. Surgical treatment of fibroids for subfertility. Cochrane Database Syst Rev. 2012;(11):CD003857.
Soriano D, Dessolle L, Poncelet C, Benifla JL, Madelenat P, Darai E. Pregnancy outcome after laparoscopic and laparoconverted myomectomy. Eur J Obstet Gynecol Reprod Biol. 2003;108(2):194–8.
Jin C, Hu Y, Chen XC, Zheng FY, Lin F, Zhou K, Chen FD, Gu HZ. Laparoscopic versus open myomectomy–a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2009;145(1):14–21.
Zhang Y, Hua KQ. Patients’ age, myoma size, myoma location, and interval between myomectomy and pregnancy may influence the pregnancy rate and live birth rate after myomectomy. J Laparoendosc Adv Surg Tech A. 2014;24(2):95–9.
Sudik R, Husch K, Steller J, et al. Fertility and pregnancy outcome after myomectomy in sterility patients. Eur J Obstet Gynecol Reprod Biol. 1996;65:209–14.
Dessolle L, Soriano D, Poncelet C, et al. Determinants of pregnancy rate and obstetric outcome after laparoscopic myomectomy for infertility. Fertil Steril. 2001;76:370–4.
Olufowobi O, Sharif K, Papainnou S, et al. Olufowobi O, Sharif K, Papainnou S, et al. Are the anticipated benefits of myomectomy achieved in women of reproductive age? A 5-year review of the results at a UK tertiary hospital. J Obstet Gynaecol. 2004;24(4):434–40.
Marchionni M, Fambrini M, Zambelli V, et al. Reproductive performance before and after abdominal myomectomy (a retrospective analysis). Fertil Steril. 2004;82(82):154–9.
Seracchioli R, Rossi S, Govoni F, et al. Fertility and obstetric outcome after laparoscopic myomectomy of large myomata (a randomized comparison with abdominal myomectomy. Hum Reprod. 2000;15:2663–8.
Seracchioli R, Manuzzi L, Vianello F, Gualerzi B, Savelli L, Paradisi R, Venturoli S. Obstetric and delivery outcome of pregnancies achieved after laparoscopicmyomectomy. Fertil Steril. 2006;86(1):159–65.
Goldberg J, Pereira L, Berghella V, et al. Pregnancy outcomes after treatment for fibromyomata: uterine artery embolization versus laparoscopic myomectomy. Am J Obstet Gynecol. 2004;191(1):18–21.
Surrey ES, Minjarez DA, Stevens JM, et al. Effect of myomectomy on the outcome of assisted reproductive technologies. Fertil Steril. 2005;83(5):1473–9.
Oliveira FG, Abdelmassih VG, Diamond MP, et al. Impact of subserosal and intramural uterine fibroids that do not distort the endometrial cavity on the outcome of invitro fertilization–intracytoplasmic sperm injection. Fertil Steril. 2004;81(3):582–7.
Bernardi TS, Radosa MP, Weisheit A, Diebolder H, Schneider U, Schleussner E, Runnebaum IB. Laparoscopic myomectomy: a 6-year follow-up single-center cohort analysis of fertility and obstetric outcome measures. Arch Gynecol Obstet. 2014;290:87–91.
Buttram VC, Reiter RC. Uterine leiomyomata: etiology, symptomatology and management. Fertil Steril. 1981;36:433–45.
Cooper NP, Okolo S. Fibroids in pregnancy – common but poorly understood. Obstet Gynecol Surv. 2005;60(2):132–8.
Yoo EH, Lee PI, Huh CY, Kim DH, Lee BS, Lee JK, Kim D. Predictors of leiomyoma recurrence after laparoscopic myomectomy. J Minim Invasive Gynecol. 2007;690.
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Apostol, R., Mahmoud, M., Nezhat, F. (2015). Laparoscopic Myomectomy. In: Tinelli, A., Malvasi, A. (eds) Uterine Myoma, Myomectomy and Minimally Invasive Treatments. Springer, Cham. https://doi.org/10.1007/978-3-319-10305-1_11
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