Study on Conversion Rate and Complications of Laparoscopic Myomectomy

Abstract

Objectives: The aim of this study was to determine the rate of conversion and complications with laparoscopic myomectomy.

Material and Methods: It was a retrospective analysis of 43 laparoscopic myomectomy cases conducted at Vinayaka Missions Medical College & Hospital over the course of 28 months, from December 2015 to March 2018. Demography, myomectomy signs, position and number of fibroids, surgery performed, difficulties and complications encountered, and the need for conversion to open surgery were all examined.

Results: A total of 108myomas were removed on 43 patients. Patients undergoing laparoscopic myomectomy were 32.16 years old on average. Just one fibroid existed in 24 patients. Only 5 patients had fibroids more than 4 in number. In 8 patients the largest fibroid was less than 5 cms, 6-12 cms in 34 women. One patient had fibroid measuring 15 cm. Of the 108 fibroids removed 80 were intramural. There was only one conversion to Laparotomy. Two patients had excessive blood loss and 8 patients had to be transfused blood intra operatively or postoperatively.

Conclusion: Laparoscopic removal of the myomas is being witnessed as a safer technique apart from the other benefits related with the laparoscopic surgery. Our findings indicate that laparoscopy is a safe and successful treatment for myomectomy, also in fibroids with a diameter of 15 cm.