IMR Press / CEOG / Volume 45 / Issue 2 / DOI: 10.12891/ceog3961.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research
Laparoendoscopic single-site myomectomy using combined suture technique versus conventional laparoscopic myomectomy: a comparison of surgical outcomes
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1 Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Clin. Exp. Obstet. Gynecol. 2018, 45(2), 198–203;
Published: 10 April 2018

Purpose of investigation: To compare surgical outcomes of laparoendoscopic single-site myomectomy (LESS-M) and three-port conventional laparoscopic myomectomy (CLM). Materials and Methods: Medical records and videos of 158 patients (79 LESS-M and 79 CLM) were reviewed retrospectively. The authors analyzed technical feasibility and operative outcomes for all patients. Results: Patient characteristics were similar in the two groups. There were no significant differences in the number of myomas (2.24 [1–8] vs. 2.41 [1–12]; p = 0.571) and size of the largest myoma (7.04 [4–15] vs. 6.89 [3–15] cm; p = 0.689) between the groups. LESS-M resulted in a significant decrease in blood loss (189 vs. 273 mL; p = 0.020). Postoperative pain scores were significantly lower in the LESS-M group at one and six hours after surgery. Conclusions: LESS-M using V-Loc and extracorporeal suture technique with Polysorb is associated with less blood loss and less postoperative pain.
Laparoendoscopic single-site myomectomy
Combined suture
Conventional instruments
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