Study Objective: To determine the frequency of adhesion formation after myomectomy performed by operative laparoscopy or laparotomy.
Design: Case-control study. Setting. Academic women's hospital.
Patients: Thirty-two premenopausal women scheduled for myomectomy by one of two techniques.
Interventions: Surgical removal of myomata.
Measurements And Main Results: Of the 32 women, 16 underwent laparotomy and 16 laparoscopy. Second-look laparoscopy was performed in 28 patients, at which time adhesions were lysed. Compared with laparotomy, laparoscopy resulted in adhesions in significantly fewer patients, and in significantly lower scores when adhesions were detected.
Conclusion: Laparoscopic removal of uterine myomata is associated with fewer adhesions than removal by laparotomy.
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