An expert provides guidance on abdominal myomectomy
, including intraoperative technique, controlling blood loss, and postoperative care.
A total of 30 patients of abdominal myomectomy
Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy
It was reported in abdominal myomectomy
that up to 20% of patients need blood transfusion and up to 2% might need hysterectomy (4).
sup] The average volume of blood loss is 200-800 ml during abdominal myomectomy
and 80-250 ml during laparoscopic myomectomy.
Very large, multiple or deep fibroids may require more traditional surgery, called an abdominal myomectomy
, that spares the uterus, or with a hysterectomy, a more serious operation involving removal of the entire uterus, ending a woman's menstrual periods and ability to bear children.
Recommendations for the use of cell saver during myomectomy have already been given in the publications of authors who have investigated its application during the classical abdominal myomectomy
versus uterine fibroid embolization in the treatment of symptomatic uterine leiomyomas.
During an abdominal myomectomy
, fibroids are cut out of the uterus and removed through an incision in the abdomen.
In a retrospective study, Advincula et al (6) found significantly decreased blood loss and a shorter hospital stay in patients who underwent robot-assisted laparoscopic myomectomy, compared with abdominal myomectomy
2200 g-weight-fibroid: Abdominal myomectomy
in the twentieth week of pregnancy," Ceska Gynekol.
In abdominal adenomyomectomy, the surgical method used was almost the same as a conventional technique of abdominal myomectomy