Background And Objectives: To compare the symptom severity and health quality outcomes of women who underwent laparoscopic and robotic myomectomy.
Methods: This was a prospective nonrandomized cohort study. The Uterine Fibroid Symptom and Health Related Quality of Life Questionnaire was administered to 33 laparoscopic myomectomy and 31 robotic myomectomy patients before and year after surgery. Symptom severity and health quality scores were compared between the preoperative and postoperative periods for laparoscopic and robotic myomectomy procedures.
Results: The mean age, operation time, estimated blood loss, body mass index, largest fibroid diameter, length of hospital stay, and number of fibroids removed were comparable for both groups ( > .05). Symptom severity scores decreased significantly for both laparoscopic and robotic myomectomy patients at year after surgery ( < .05), and health-related quality of life scores increased significantly in both groups at 1 year after surgery ( < .05). Improvement in symptom severity and health quality was higher in the laparoscopy group; however, this was not statistically different from the robotic myomectomy group ( > .05).
Conclusion: Laparoscopic and robotic myomectomy provide significant reductions in fibroid-associated symptom severity and significant improvement in quality of life at 1 year after surgery. The rate of improvement was comparable for both procedures.
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http://dx.doi.org/10.4293/JSLS.2018.00030 | DOI Listing |
J Gynecol Obstet Hum Reprod
December 2024
Assistance Publique-Hospitals of Paris, Department of Gynecological and Breast Surgery and Oncology, Pitié Salpêtrière Hospital, Paris, France; University Institute of Cancer (IUC), AP-HP, Sorbonne University, Paris, France; Saint-Antoine Research Center (CRSA), INSERM UMR_S_938, Biology and Therapeutics of Cancer, Sorbonne University, Paris, France. Electronic address:
Introduction: Fibroids are the most common benign uterine tumors. There are different possibilities for surgical approaches, and evaluating the cost of these operations is fundamental in modern surgery. The aim of our study is to evaluate the cost-effectiveness of robotic-assisted myomectomy (RAM) compared to open myomectomy (OM) in France.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
December 2024
University of Sydney, NSW, Australia; Sydney West Area Pelvic Surgical Unit (SWAPS), NSW, Australia; Department of Obstetrics and Gynaecology, Westmead Hospital, NSW, Australia.
Objective: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is utilised for gynaecological procedures globally, however evidence to support its application aside from hysterectomy is lacking. A systematic review to determine feasibility and safety profile of vNOTES for benign gynaecology was conducted.
Data Sources: A literature search of MEDLINE, EMBASE, CINAHL, SCOPUS and CENTRAL was conducted, including all types of studies reporting vNOTES for gynaecological indications.
J Minim Invasive Gynecol
December 2024
Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center (Schneyer, Meyer, Barker, Hamilton, Siedhoff, Truong, and Wright), Los Angeles, California.
J Minim Invasive Gynecol
November 2024
Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA.
Arch Med Res
December 2024
Department of Obstetrics and Gynecology, Southern Illinois University, Springfield, Illinois, USA. Electronic address:
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