Results of Laparoscopic Myomectomy in Bangkok Metropolitan Administration Medical College and Vajira Hospital

Abstract

Results of Laparoscopic Myomectomy in Bangkok Metropolitan Administration Medical College and Vajira Hospital

Sarwinee    Ratchanon MD, MSc (Reproductive Biology) *

Prateep Hanidhikul MD **

Anusorn Triwitayakorn MD *

Budsaba Wiriyasirivaj MD, MSc (Epidemiology), MSc (Clinical Embryology) *

* Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital

** Special Instructor of Endoscopic Surgery, Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital

Objective: To study baseline characteristics, operative time, operative blood loss, conversion rate, complications and duration of postoperative hospital stay in patients underwent laparoscopic myomectomy.

Study design: Descriptive study.

Subjects: A total of fourty-four patients underwent laparoscopic myomectomy from January 2003 to December 2006 were enrolled.

Methods: Patients' characteristics, intra-operative data, complications and hospital stay were collected from hospital records and hospital database.

Main outcome measures: Age, presenting symptoms, indication for surgery, amount and size of myoma, operative time, operative blood loss, conversion rate, complications and duration of postoperative hospital stay.

Results: The average age of study population was 34.8 ± 4.8 years. The two most common indications for surgery were hypermenorrhea and infertility. The operative time and operative blood loss were 232.6 ±  71.4 minutes and 358.2 ±  51.3 ml, respectively. The major complication, profuse bleeding from myomectomy site during operation leading to conversion, was 4.5%. There was no injury to urinary bladder, ureter or bowel. Minor complication rate was 56.8%. The duration of postoperative hospital stay was 2.4 ±  0.2 days.

Conclusion: Laparoscopic myomectomy was a useful surgery due to short postoperative hospital stay and less blood loss. Although minor complications were still high but major complications were too low. There was no injury to urinary bladder, ureter or bowel.

Vajira Med J 2007 ; 51 : 163 - 170