In recent years, the development of new surgical techniques in uterus myoma treatment have reduced operative trauma significantly. Our objective was to present operative technique--vaginal myomectomy, making a prospective clinical study where we have evaluated the operative and postoperative period after intentive diagnosis. The result of our study shows the feasibility of myomectomy by entering the peritoneum through the posterior vaginal fornix, using traditional and cheap surgical instruments and thus avoiding the trauma of laparatomy, minimal operative blood loss, reduced operating time and postoperative recovery. In our opinion, vaginal myomectomy could be useful for the treatment of selected cases with fundal or posterior wall uterine myomas.
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Article Synopsis
- Vaginal natural orifice transluminal endoscopic surgery (vNOTES) offers benefits such as no visible scars and quicker recovery times, but removing posterior myomas can be challenging in the traditional lithotomy position.
- This study compares outcomes for patients undergoing myomectomy in either the prone or lithotomy position, with the finding that the prone position significantly reduces operation time without raising complication rates.
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