Laparoscopic myomectomy without uterine manipulator for maintaining endometrial cavity integrity.

ABSTRACT:

Background

Preserving the integrity of the endometrial cavity is crucial, particularly for preserving fertility during laparoscopic myomectomy (LM). This study aimed to compare the uterine breaching rate and clinical outcomes of LM performed with and without a uterine manipulator.

Methods

Data from women who underwent LM at our hospital between January 2020 and June 2023 were retrospectively analyzed. The primary outcomes included endometrial cavity breaching rate, conversion rate, abdominal port count, operative time, hospitalization duration, and blood loss. The secondary outcomes included adverse events such as postoperative anemia and emphysema.

Results

We analyzed the data from 50 participants, comparing those with (n=30) and without (n=20) manipulators. No signi

SUBMITTER: Chang CH 

PROVIDER: S-EPMC11532886 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature