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- W4236960056 abstract "Study Objective: To get complete laparoscopic myomectomy on reducing blood loss and conserving endometrial continuity. Design: Prospective analysis of 1130 cases of laparoscopic myomectomy from 1, Jan, 2000 to 31, Dec, 2008. Setting: Eun's hospital in Gwang-ju, South Korea. Patients: 1130 women (ages 20-52 years) with large (5 cm-22 cm, 71gm-1450gm) or/and multiple (3-35 numbers) myomatas. Intervention: After 1:200 vasopressin infiltration, the hysterotomy is direct, lined up with the myoma. Dissection of the myoma should run inside the a vascular plane surrounding the myoma leaving the pseudo-capsule around the outside. This dissection proceeds from the deep areas outwards using blunt tipped stainless pole, at first digging like the spade and peeling off like the lever finally. We did not use myoma screw or electrocoagulator or cutting scissors. The bed of the myomectomy is most free from hemorrhage because of the constricted and shrinkaged vascular beds in virtue of pushing them hard upwards. We can suture the endometrium and deep myometrium, and the serosa-muscular layer with No.1 vicryl comfortably. Measurements and Main Results: Operation time; 82 mins (SD±25), changed to lapartomy; none (except 5 case: mini laparotomy in order to remove large myoma through the abdominal wall), hematoma & infection 1ms later; none, blood loss;0.2 pints (per patient), post-op uterine rupture: 1 case (adenomatos mass in posten or uterine wall), intestinal injury: 7 cases (from serosa to mucosa injury of distal colon), ureter injury; none. Conclusion: As we change the way of enucleation of myomatas, the rate of the conversion to emergent laparotomy was diminished remarkably in the cases of huge multiple myomatas." @default.
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- W4236960056 date "2009-11-01" @default.
- W4236960056 modified "2023-09-27" @default.
- W4236960056 title "How Can We Make the Situation To Reduce Rate of Conversion to Laparotomy during Laparoscopic Myomectomy of Huge Multiple Myomatas Uteri" @default.
- W4236960056 doi "https://doi.org/10.1016/j.jmig.2009.08.246" @default.
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