IMR Press / CEOG / Volume 40 / Issue 1 / pii/1630388029829-1727561802

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Origianal Research
Factors affecting completion of laparoscopic myomectomy
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1 Department of Obstetrics & Gynecology, Kung Hee University Hospital at Gangdong, Kyung Hee University Medical College, Seoul (Korea)
Clin. Exp. Obstet. Gynecol. 2013, 40(1), 78–80;
Published: 10 March 2013
Abstract

Purposes: This study aimed to elucidate the factors affecting completion of laparoscopic myomectomy without unintended surgery. Materials and Methods: The medical records of 143 patients who underwent laparoscopic myomectomy desiring to retain their uterus were retrospectively reviewed. Unintended surgery was defined as the need for conversion to other surgical methods including laparotomy or laparoscopic hysterectomy at any time during the procedures. All variables associated with completion of laparoscopic myomectomy in the univariate analysis were selected at the threshold of p < 0.25 and then tested in a multiple-logistic regression model. Results: The rate of unintended surgery was 13.3%. Univariate analysis revealed that age, previous abdomino-pelvic surgery, current medical disease, transfusion, > five myomas, myoma size > 8.2 cm, posterior wall location of myoma, intramural type of myoma, and the presence of adenomyosis were statistically significant risk factors for unintended surgery. Multivariate logistic regression analysis demonstrated that completion of laparoscopic myomectomy was significantly influenced by a history of previous abdomino-pelvic surgery (odds ratio; 6.46, 95% CI, 0.03-0.41; p value 0.04). Conclusion: The risk of unintended surgery during laparoscopic myomectomy is associated with a history of previous abdomino-pelvic surgery.
Keywords
Laparoscopic myomectomy
Unintended surgery
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