Robot-assisted laparoscopic myomectomy; a feasible technique for removal of unfavorably localized myomas
| العنوان: | Robot-assisted laparoscopic myomectomy; a feasible technique for removal of unfavorably localized myomas |
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| المؤلفون: | Celine Lönnerfors, Jan Persson |
| المصدر: | Acta Obstetricia et Gynecologica Scandinavica. 88:994-999 |
| بيانات النشر: | Wiley, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Adult, Laparoscopic surgery, medicine.medical_specialty, media_common.quotation_subject, medicine.medical_treatment, Laparoscopic myomectomy, Fertility, Da Vinci Surgical System, Cohort Studies, Blood loss, Laparotomy, medicine, Humans, Laparoscopy, Retrospective Studies, media_common, Pregnancy, Leiomyoma, medicine.diagnostic_test, business.industry, Obstetrics and Gynecology, Myoma, Robotics, General Medicine, medicine.disease, Surgery, Endoscopy, Dissection, Treatment Outcome, Surgery, Computer-Assisted, Hysteroscopy, Uterine Neoplasms, Feasibility Studies, Robot-Assisted Laparoscopic Surgery, Female, business, Infertility, Female |
| الوصف: | The presence of myomas can impair fertility. To preserve fertility in women with myomas wanting to become pregnant, myomectomy can be performed with laparotomy, laparoscopy, or hysteroscopy and achieve pregnancy rates of up to 70%. Advantages of laparoscopic techniques compared with laparotomy include shorter hospital stay, more rapid recovery, and less intra-abdominal adhesions. In addition, the overall complication rate is lower. Precise dissection and suturing, however, is especially difficult with traditional laparoscopy for myomas with a deep intramural and/or another unfavorable localization that have a probable impact on fecundity and future pregnancy. To address this problem, the da Vinci system was developed to provide a robot-assisted laparoscopic myomectomy in such cases. Little data on use of this technique are available. This prospective observational study examined the feasibility of robot-assisted laparoscopic myomectomy using the da Vinci system for preservation of fertility in 13 women with deep intramural myomas for whom laparotomy was the only alternative. The study was conducted between 2006 and 2008 at a university hospital. All the study subjects had an active desire to preserve fertility. Preoperative mapping using transvaginal ultrasonography was performed to select the most optimal surgical approach. A prospective protocol was used to assess relevant times at the operating theater, blood loss, complications, and postoperative and follow-up outcome data. The median time for surgery was 132 minutes (range: 94-209 minutes) and median blood loss was 50 mL (range, 25-200 mL). The median length of postoperative hospital stay was one day (range: 1-3 days). Insignificant myomas ( |
| تدمد: | 1600-0412 0001-6349 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a1a73acb3adf34bbb94f1f14a37cc14 https://doi.org/10.1080/00016340903118026 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....1a1a73acb3adf34bbb94f1f14a37cc14 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 16000412 00016349 |
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