Clinical application of the modified laparoscopic myomectomy

Objective: To explore the surgical technique and advantage of the modified laparoscopic myomectomy.Methods: One hundred patients with fibroid,who wanted to retain uterine,were randomly divided into the observation group(group A) and control group(group B)(60 cases each group).The observation group and control group were treated with the modified laparoscopic myomectomy and conventional laparoscopic myomectomy,respectively.According to the diameter of fibroid,the observation group and control group were subdivided into group A1(<6cm) & group A2(≥ 6cm),and group B1(<6cm) & group B2(≥6cm),respectively.The operative time,blood loss and postoperative fever between group A1 and B1,and between group A2 and B2 were compared.Results: All operations in all patients were completed under laparoscope,no case was treated with laparotomy,no serious complication was found during the operation and after operation.The operation time in group A1 was shorter than that in group B1(P<0.05),the difference of the intraoperative blood loss between group A1 and group B1 was not statistically significant(P>0.05).The operation time and intraoperative blood loss in group A2 less than those in group B2(P>0.05),the postoperative fever between group A2 and group B2 was not statistically significant(P>0.05).Conclusions: Compared with the traditional surgery,the modified laparoscopic myomectomy in treating fibroid is feasible,safe,less trauma,short operation time and less bleeding,especially for large uterine fibroid.