| March 2010 · Vol. 22, No. 03 SURGICAL TECHNIQUES
Laparoscopic myomectomy:
8 pearls
From preoperative imaging to postoperative analgesia, the choices you make determine the ease of the procedure and the quality of the outcome
|
Fast Track
Submucosal and intracavitary fibroids smaller than 4 cm and more than 5 mm away from the uterine serosa are generally removed hysteroscopically
The pattern of blood vessels along the uterus is heterogeneous and variable, and there is no evidence that blood loss or other outcomes are affected by the direction of the uterine incision
Most patients are advised to take an NSAID, such as 800 mg ibuprofen, every 6 to 8 hours for the first 3 to 5 days after surgery
|
|
Jon
I.
Einarsson,
MD, MPHDr. Einarsson is Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology at Harvard Medical School and Chief of the Division of Minimally Invasive Gynecology at Brigham and Women’s Hospital in Boston.
The author reports no financial relationships relevant to this article.
Myomectomy is the surgery of choice for women who have symptomatic fibroids and who wish to retain their uterus. And laparoscopic myomectomy is preferable to the abdominal approach in many ways, offering:1-4
|
