Minimally Invasive Myomectomy: An Overview on the Surgical Approaches and a Comparison with Mini-Laparotomy.

Alejandro Marín-Buck, Erbil Karaman, Juan J Amer-Cuenca, Juan F Lisón, Péter Török, Onur Karaaslan, Gaetano Valenti, Gabriella Zito, Antonio Biondi, Benito Chiofalo

Journal: Journal of investigative surgery : the official journal of the Academy of Surgical Research 2021;34(4):443-450

PMID: 31322011

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Abstract

Uterine fibroids (UFs) are the most common benign solid tumors of the female genital tract manageable by surgical of pharmacological approach. When the medical management is ineffective or surgery is primarily requested, several surgical approaches can be used. Among these, minimally invasive surgery might be preferred. Myomectomy is the standard surgical treatment when fertility sparing is claimed. It can be performed via laparoscopy, robotic surgery and hysteroscopy and the choice depend on UFs features and surgeon's skill. Alongside these minimally invasive options, mini-laparotomy has been proposed as a less invasive surgical approach comparable to the well-established minimally invasive options. The aim of this review is to describe the most recent advances in minimally invasive techniques to perform myomectomy, comparing them with mini-laparotomy approach.

Address: Department of Surgery, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.; Department of Gynecology, Hospital Provincial de Castellón, Castellón, Spain.; Department of Obstetrics and Gynecology, Yuzuncu Yil University Medical Faculty, Van, Turkey.; Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.; Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.; CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Carlos III Health Institute, Madrid, Spain.; Faculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen, Hungary.; Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.; Department of Obstetrics and Gynecology, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.; Gynecologic Oncology Unit, Department of Experimental Clinical Oncology, "Regina Elena" National Cancer Institute, Rome, Italy.

DOI: 10.1080/08941939.2019.1642422

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https://www.tandfonline.com/doi/10.1080/08941939.2...

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https://medlineplus.gov/uterinefibroids.html

MeSH Terms: Female, Humans, Hysteroscopy, Laparoscopy, Laparotomy, Leiomyoma, Minimally Invasive Surgical Procedures, Pregnancy, Uterine Myomectomy, Uterine Neoplasms