Application of simultaneous morcellation in situ in laparoscopic myomectomy of larger uterine leiomyomas.

OBJECTIVES

To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by 'simultaneous morcellation in situ' (SMI) in laparoscopic myomectomy (LM).

PATIENTS AND

METHODS

Twenty-six patients with leiomyomas >9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed.

RESULTS

The average operating time was 106.4 ± 38.5 min (range 50-175 min). The average blood loss was 278.2 ± 164.6 ml (range 50-800 ml). There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 ± 0.2 days (range 5-7 days).

CONCLUSION

Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas (>9 cm) during LM.