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Background and Objective: Myomectomy is a treatment option for women who have symptomatic uterine leiomyomas and wish to preserve their childbearing capabilities. Laparoscopically assisted myomectomy (LAM) is a minimally invasive myomectomy which is technically less difficult and allows better closure of the uterine defect and requires a shorter hospital stay. This study was to report the first six nulliparous women who schedule for LAM operations in Srinagarind hospital.
Methods: Six case-reports
Results: All were diagnosed at a median age of 36 years (range 33-41 years). Indications for surgery were abnormal uterine bleeding (2), pelvic pain and dysmenorrhea (2), infertility (2), and pressure effect (1). One patient was diagnosed with two indications. The median number of leiomyomas per patient was 1.5 (range 1-2). Seven of them were intramural type and two were subserosal type. The median length of abdominal skin incision was 4 cm (range 4-5 cm). Leiomyoma diameter ranged from 4 cm to 8 cm (median 5 cm) and weight ranged from 120 g to 250 g (median 170 g). The median operating time was 95 min. (range 80-110 min.). Blood loss was estimated at 50 mL (range 20-300 mL). There were no intra- and postoperative complications. The median postoperative hospital stay was 2 days (range 2-3 days).
Conclusions: The authors recommend LAM technique a safe and technically less difficult procedure when operating to carefully selected patients instead of using conventional abdominal or laparoscopic myomectomy.
Keyword: Myomectomy, Laparoscopic myomectomy, Laparoscopically assisted myomectomy