Laparoscopic myomectomy in peri- and post-menopausal women is safe, efficacious and associated with long-term patient satisfaction

European Journal of Obstetrics & Gynecology and Reproductive Biology, 06/04/2012

Laparoscopic myomectomy as a surgical treatment option in the peri– and post–menopause was characterized by a low rate of complications and relapses as well as a high degree of patient satisfaction in the analysis.

Methods

  • They evaluated the surgical outcome and patient satisfaction for a total of 451 patients: 85 peri– or post–menopausal women as group A and, for reference, 366 premenopausal women in group B, who received LM from 1998 to 2008 in the department.
  • They analyzed data from the medical records and applied a patient questionnaire in September 2009.

Results

  • The average number of fibroids removed and size of the leading fibroid were similar in both groups.
  • Time of surgery was different in group A, at 102.8min, compared to group B, 128.6min (p<0.01).
  • Rates of intra– (2.21% overall) and post–operative complications (6.22% overall) were comparable for both groups.
  • Post–surgical hospitalization was shorter in group B (4.4 days) compared to group A (5.0 days) (p<0.01).
  • Evaluation of the questionnaire showed high satisfaction with the results of LM in both subgroups with a significantly lower number of relapses in group A (3.5%) compared to group B (11.2%).

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