Compared with traditional abdominal myomectomy
(AM), RALM has been associated with less blood loss, shorter hospital stay, quicker recovery time, fewer complications, and higher costs.
It was planned to resort for abdominal myomectomy
which was successfully performed on 10 December 2016.
In comparison with abdominal myomectomy
, the laparoscopic procedure is associated with less postoperative pain, a short hospital stay, and faster recovery time [4, 5].
As such, we obtained informed consent and performed an abdominal radical trachelectomy followed by abdominal myomectomy
There is no prior study in the literature directly comparing long-term fertility and pregnancy outcomes after robotic-assisted, laparoscopic, and abdominal myomectomy
, although several studies have evaluated two of these three surgical approaches side by side.
In fact, shorter hospitalization and recovery period and less postoperative pain, fever, and anemia have been observed in laparoscopic compared to abdominal myomectomy
This was a cross sectional study conducted on 30 patients in Lady Willingdon Hospital, Lahore in 4 years duration from January 2008 to December 2011, who underwent abdominal myomectomy
for infertility and recurrent pregnancy loss.
(2.) Acien P, Quereda F: Abdominal myomectomy
: Results of a simple operative technique.
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
. The use of intraoperative blood salvage in obstetrics could lead to a significant reduction of maternal morbidity and mortality in the future.