Title: Laparoscopic Myomectomy—Complications and Conversion
Authors: Dr Kumar Sanjeev, MD., Dr Alla Satyanarayana Reddy, MD., DGO., FICMCH
DOI: https://dx.doi.org/10.18535/jmscr/v6i5.92
Abstract
Objectives: To evaluate the conversion rate and complications of laparoscopic myomectomy
Material and Methods: It was a retrospective study of 43 cases of laparoscopic myomectomy performed over a period 28 months from December 2015 to March 2018 at Vinayaka Mission`s Medical College & Hospital. Demography, indications for myomectomy, location and the number of fibroids, surgery done, difficulties and complications encountered and the necessity for conversion to open surgery were analysed.
Results: A total of 108myomas were removed on 43 patients. The mean age of patient undergoing laparoscopic myomectomy was 32.16 years.24 patients had only one fibroid. Only 5 patients had fibroids more than 4 in number. In 8 patients the largest fibroid was less than 5 cms, 6-12 cms in 34 women. One patient had fibroid measuring 15 cm. Of the 108 fibroids removed 80 were intramural. There was only one conversion to Laparotomy. Two patients had excessive blood loss and 8 patients had to be transfused blood intra operatively or postoperatively.
Conclusion: Our data suggests that laparoscopy is a safe and effective procedure for myomectomy even in 15 cms fibroids.
Keywords: laparoscopy,fibroids, myomectomy.
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