Comparison of Laparoscopic and Open Myomectomy in a Tertiary Hospital: A Retrospective Cohort Study

Abstract

Objective: Uterine fibroids have two common symptoms: pelvic pain and irregular uterine bleeding.Surgical treatment should be applied in cases where medical treatment fails or cannot be applied.Myomectomy can be performed hysteroscopically, laparoscopically, robotically, or laparotomically.This retrospective study aims to compare the results of laparoscopic and laparotomic myomectomy cases performed in our clinic. Materials and Methods:A total of 168 patients who underwent 84 laparoscopic and 84 open myomectomies were included in the study.Demographic characteristics (mean age, parity, BMI), indications for myomectomy, duration of operation, complications, pain VAS score, estimated blood loss hospital stay, and the number and diameter of myomas were compared.Before surgery, each patient gave their signed informed consent.SPSS for Windows 24 (SPSS Inc.Chicago, IL) was utilized.The significance threshold of 0.05 was accepted. Results:The mean operative time in the LM group was significantly longer than in the OM group (p=0.002).The hemoglobin drop was significantly lower in the LM group than in the OM group (p=0.005).The length of hospital stay was significantly different in the laparoscopic myomectomy group (p=0.012).Postoperative VAS scores were significantly different in the LM group (p=0.00). Conclusion:In selected cases, compared to open myomectomy, laparoscopic myomectomy resulted in less loss of blood, a brief stay in the hospital, and less pelvic pain.