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VOLUME 2 , ISSUE 2 ( May-August, 2009 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Myomectomy: Does it have any Advantages over Conventional Laparotomy?

Cromwell HM Mwakirungu

Citation Information : Mwakirungu CH. Laparoscopic Myomectomy: Does it have any Advantages over Conventional Laparotomy?. World J Lap Surg 2009; 2 (2):33-36.

DOI: 10.5005/jp-journals-10007-1023

Published Online: 01-08-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Uterine myoma commonly referred to as fibroids, are so far the commonest benign tumors of the female genital tract and are the commonest soft tissue tumors of all. Worldwide, several thousand patients suffer yearly and some undergo surgery as a result of symptoms and complications of fibroids. Myomectomy, the removal of fibroids has always been done by laparotomy but recently, laparoscopic myomectomy has been started and is really getting support from endoscopic surgeons. Laparoscopic myomectomy, a heterogenous procedure, ranges from a simple procedure to a more complex one requiring expert laparoscopic suturing skills. Large pedunculated myomas are easily removed laparoscopically, but intramural ones really pause a challenge for these surgeons. Several studies have been conducted mainly nonblind ones and the results, though encouraging, do not look scientifically convincing. Laparoscopic myomectomy has its advantages but as is any new mode of treatment or surgery, it has its opponents and proponents.

The few double blind studies done have good convincing conclusions but more really needs to be done. The biggest challenge in laparoscopic surgery in general, is the cost of the equipment and therefore the cost of surgery.

When this study was undertaken, initially it was thought no data would be obtained, but by the time of completion of the study, there was enough data collected. Only that, different investigators, looked at different issues differently. It was concluded that more research work needs to be done so that we may have more convincing, well researched issues to lay the fears of the doubting at rest.


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