World Journal of Laparoscopic Surgery

Register      Login

VOLUME 9 , ISSUE 3 ( September-December, 2016 ) > List of Articles


Minimally Invasive Surgical Techniques vs Open Myomectomy for Treatment of Uterine Fibroids

Bhawna Bansal

Citation Information : Bansal B. Minimally Invasive Surgical Techniques vs Open Myomectomy for Treatment of Uterine Fibroids. World J Lap Surg 2016; 9 (3):126-129.

DOI: 10.5005/jp-journals-10033-1289

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2016; The Author(s).



Myomectomy is the surgical remedy of preference for women with symptomatic fibroids, who prefer or want uterine conservation. Myomectomy can be finished by using conventional laparotomy, by means of minilaparotomy, or by means of minimal access techniques, such as hysteroscopy and laparoscopy. Since the advent of minimal access surgery, there has been interest in the relative advantages and disadvantages of both surgical modalities.


To determine the benefits and harms of laparoscopic myomectomy compared with open myomectomy.

Materials and methods

We used various search engines – PubMed, HighWire Press, Google, and Yahoo – to search for all trials and articles comparing myomectomy via laparotomy, minilaparotomy, or laparoscopically assisted minilaparotomy vs laparoscopy. We found several articles of which 10 were used in this review article based on the outcomes studied, date of publication (after 2005), methodology of study, level of evidence, and the journal in which they were published. The results of these trials were then compared.


Laparoscopic myomectomy is a process associated with less subjectively reported postoperative pain, lower postoperative fever, and shorter hospital stay as opposed to all kinds of open myomectomy. No data suggested a difference in recurrence risk between laparoscopic and open myomectomy. Even more studies are needed to determine fertility outcomes, rates of uterine rupture, occurrence of thromboembolism, and need for repeat myomectomy and hysterectomy at a later stage.

How to cite this article

Bansal B. Minimally Invasive Surgical Techniques vs Open Myomectomy for Treatment of Uterine Fibroids. World J Lap Surg 2016;9(3):126-129.

PDF Share
  1. Cochane library. [Online]. 2014. Available from: .
  2. Impact of surgical approach on blood loss during intracapsular myomectomy. Minim Invasive Ther Allied Technol 2014 Mar;23(2):87-95.
  3. Laparoscopy versus minilaparotomy in women with symptomatic uterine myomas: short-term and fertility results. Fertil Steril 2010 May;93(7):2368-2373.
  4. Laparoscopically assisted myomectomy versus abdominal myomectomy in short-term outcomes: A prospective study. Arch Gynecol Obstet 2010 May;281(5):865-870.
  5. Laparoscopy vs minilaparotomy in women with symptomatic uterine myomas: A prospective randomized study. J Minim Invasive Gynecol 2009 Jul-Aug;16(4):422-426.
  6. A randomized trial of laparoscopic versus laparoscopic-assisted minilaparotomy myomectomy for removal of large uterine myoma: Short-term outcomes. J Minim Invasive Gynaecol 2008 Jul-Aug;15(4):402-409.
  7. Isobaric gasless laparoscopy versus minilaparotomy in uterine myomectomy: A randomized trial. Surg Endosc 2008 Apr;22(4):917-923.
  8. A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: Reproductive outcomes. Fertil Steril 2007 Oct;88(4):933-941.
  9. Laparoscopic versus open myomectomy: A double blind to evaluate postoperative pain. Anesth Analg 2006 May;102(5):1480-1484.
  10. Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas. J Minim Invasive Gynecol 2006 Mar-Apr;13(2):92-97.
  11. Cochrane Database of systemic reviews. [Online]; 2009. Available from .
  12. Quantitative assessment of the prevalence of unsuspected uterine sarcoma in women undergoing treatment of uterine fibroids. Summary and key findings. FDA Safety Communications; 2014.
  13. Laparoscopic versus open myomectomy-a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol 2009;145(1):14-21.
  14. Laparoscopy [Online]. 2008. Available from:
  15. Robotic assisted vs laparoscopic and/or open myomectomy: Systematic review and meta-analysis of the clinical evidence. Arch Gynecol Obstet 2016 Jul;294(1):5-17.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.