COMPARISON OF THE RISK, BENEFIT AND PREGNANCY RATE OF LAPAROSCOPIC MYOMECTOMY AND TRADITIONAL LAPAROTOMY IN UTERINE FIBROIDS PATIENTS
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Keywords
Fibroids, Laparoscopic myomectomy, Pregnancy, Traditional laparotomy
Abstract
Background: Laparoscopic myomectomy has emerged as an efficacious and safe treatment option for management of uterine fibroids.
Purpose: The objective of this research was to compare both the safety and effectiveness of traditional laparotomy and laparoscopic myomectomy for women with uterine fibroids, as well as to find out their impact on the pregnancy rate following surgery.
Methods: This retrospective study was conducted at (Omomah center for endoscopic surgery and El Shefaa Hospital) and encompassed 80 patients with uterine fibroids in the period between January 2017 and January 2020. Cases who had laparoscopic myomectomy have been placed in group A (number=40), while those who underwent traditional laparotomy have been placed in group B (number=40).
Results: A statistically significant variance has been observed among both groups regarding time of surgery (p=0.039), and incidence of complications (p=0.03). There were highly statistically significant variances among both groups according to intra operative blood loss, post-operative hospitalization and VAS score (p<0.001). Laparoscopic myomectomy had a higher rate of pregnancy than traditional laparotomy at various time points (6, 12, 24, and 48 months) following surgery.
Conclusion: Laparoscopic myomectomy had positive effects over traditional laparotomy in terms of shorter surgery time, postoperative hospital stays, less intraoperative blood loss, VAS score, and lower incidence of complications, as well as a higher pregnancy rate.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Ahmed Dabash Abdel Lateef
Department of Obstetrics and Gynecology, Faculty of Medicine, Suez University
Ahmad Ali Mohamed Ahmad
Department of General Surgery, Faculty of Medicine, Suez University
Osama Ahmed Mohamed Ali
Department of Obstetrics and Gynecology, Faculty of Medicine, South Valley University.